克拉玛依区“三位一体”结核病防治体系转型前后的调查  

Analysis of the quality of work before and after the transformation of “Trinity” TB control model in Karamay District

作　　者：林彬[1] 屈艳红[1] 杨芳玲[1] 王先化[2] 王海英 

机构地区：[1]克拉玛依市疾病预防控制中心,新疆834000 [2]新疆昌吉州疾病预防控制中心 [3]新疆克拉玛依市克拉玛依区疾病预防控制中心

出　　处：《中国公共卫生管理》2017年第4期517-519,529,共4页Chinese Journal of Public Health Management

基　　金：新疆克拉玛依市科技局支撑项目(SK2014-55)

摘　　要：目的为全面推行结核病防治新型服务体系提供参考依据。方法采用SPSS19.0软件对转型前后各工作指标进行χ~2检验,以P<0.05为差异有统计学意义。结果克拉玛依区活动性肺结核患者平均登记率转型前后分别为40.50/10万和35.32/10万,差异无统计学意义(χ~2=1.75,P>0.05);新涂阳肺结核患者平均登记率转型后(11.22/10万)低于转型前(18.47/10万),差异有统计学意义(χ~2=9.08,P<0.05);转型前后患者发现来源主要以转诊为主,差异无统计学意义(χ~2=0.57,P>0.05);转型前后因症就诊平均构成比分别为19.95%和1.05%,差异有统计学意义(χ~2=17.05,P<0.05);转型前后转诊到位比例分别为98.21%和99.45%,差异无统计学意义(χ~2=0.02,P>0.05);转型前后新涂阳肺结核患者平均治愈率分别为96.34%和96.70%,差异无统计学意义(χ~2=0.00,P>0.05)。结论克拉玛依区实施"三位一体"新型结核病防治服务体系后工作质量总体平稳,但对下滑指标(新涂阳登记率和因症就诊比例)应给予关注。同时,建议加强医疗机构与结防机构的合作,达到传染病的"高发现率、高治愈率"的目标。Objective To compare and analyze the quality of routine work before and after the transformation of the＂Trinity＂tuberculosis service system in Karamay District,to provide reference for carrying out the new service system. Methods The data of control service system in Karamay district transformation 2 years ago（ 2012-2013） and after the transformation of 2 years（ 2014-2015） in patients with pulmonary tuberculosis,referral,treatment and management work were described,SPSS19. 0 software was used to carry out the χ~2 test before and after the transformation,with P〈0. 05 as the difference,which was statistically significant. Results The area of active pulmonary tuberculosis in patients with the average registration rate before and after transformation were 40. 50/100000 and 35. 32/100000,the difference was not statistically significant（ χ~2=1. 75,P〈0. 05）; new smear positive pulmonary tuberculosis patients in the average registration rate after transformation（ 11. 22/100000） was lower than before the transition（ 18. 47/100000）,the difference was statistically significant（ χ~2=9. 08,P〈0. 05）; the main source of the transformation of the patients before and after that referral,there was no statistically significant difference（ χ~2= 0. 57,P〈0. 05）; the transformation before and after symptomatic visits average accounted for 19. 95% and 1. 05%,the difference was statistically significant（ χ~2= 17. 05,P〈0. 05）; the transformation before and after the referral in place were 98. 21% and 99. 45% respectively,there was no statistical difference（ χ~2= 0. 02,P〈0. 05）; before and after the transition of new smear positive pulmonary tuberculosis patients in the average cure rate were 96. 34% and 96. 70%,the difference was not statistically significant（ χ~2= 0. 00,P〈0. 05）. Conclusion After the implementation of the＂Trinity＂new service model in our region,the quality of the work is generally stable,but the decline index（ the new smear positive registration rate

关 键 词：肺结核病 治疗管理 定性研究 

分 类 号：R473.52[医药卫生—护理学] R197.2[医药卫生—临床医学]