基于社区医院的结核病预防与咨询门诊建设模式探索与实践  

Exploration and practice of tuberculosis prevention and consultation clinics in community hospitals

作　　者：张冰凌 李冰 吴锋[2] 李萍萍[2] 陈同[3] 罗丽 张君 任伟明 贺天锋[3] ZHANG Bingling;LI Bing;WU Feng;LI Pingping;CHEN Tong;LUO Li;ZHANG Jun;REN Weiming;HE Tianfeng(Zhuangqiao Hospital of Ningbo Ninth Hospital Health Group,Ningbo,Zhejiang 315000,China;不详)

机构地区：[1]宁波市第九医院医疗健康集团庄桥院区,浙江宁波315000 [2]宁波市江北区疾病预防控制中心 [3]宁波市疾病预防控制中心

出　　处：《中国公共卫生管理》2024年第4期615-618,共4页Chinese Journal of Public Health Management

摘　　要：在宁波市庄桥街道社区医院开展研究,探讨在社区医院中建立结核病预防与咨询门诊的模式及其实施效果,旨在通过专业化的结核病咨询、筛查和预防性的治疗服务,提升公众对结核病的认知,降低结核潜伏感染者发展为活动性结核病的风险,提升社区结核病的防治水平。社区医院通过设立结核病预防门诊,实施“三筛两管一动员”策略,对社区内结核病患者和潜伏感染者进行早期发现、诊断和规范化管理。同时,门诊引入现代化信息系统,实现了患者健康档案的电子化管理,优化了门诊服务流程。结果显示,门诊累计为38名咨询者提供服务,开展了5名患者的免疫治疗,提高了结核病的防治效果。文章总结了社区医院在结核病预防门诊建设和管理中的经验,提出了进一步优化全流程管理和预防性治疗的对策,为其他社区医院提供了可借鉴的实践经验。Conducting a research at the Zhuangqiao Community Hospital in Ningbo City to explore the establishment of a tuberculosis(TB)prevention and consultation clinic in community hospitals and its implementation effects.It aimed to improve public awareness of TB,reduce the risk of latent tuberculosis infection(LTBI)progressing to active TB,improve the prevention and treatment level of TB in the community through specialized TB consultation,screening,and preventive treatment services.The community hospital established a TB prevention clinic and implemented the“Three Screenings,Two Managements,and One Mobilization”strategy to achieve early detection,diagnosis and standardized management of TB patients and latent infections within the community.Additionally,the clinic introduced a modern information system to realize electronic management of patient health records and optimize clinic service processes.The results showed that the clinic provided services to a total of 38 consultants and carried out immunotherapy for 5 patients,thereby improving TB prevention and control effectiveness.It summarized the experiences of the Zhuangqiao Center in the construction and management of the TB prevention clinic,proposed strategies for further optimization of the entire process management and preventive treatment and provided practical experience for other community hospitals to reference.

关 键 词：基层医疗卫生机构 结核病 预防控制 

分 类 号：R183[医药卫生—流行病学] R52[医药卫生—公共卫生与预防医学]