中国结核病防治服务体系运行现状、问题与对策研究  

Study on the status,problems and countermeasures of tuberculosis control service system in China

作　　者：刘巧[1] 李忠奇 竺丽梅[1] 陆伟 Liu Qiao;Li Zhongqi;Zhu Limei;Lu Wei(Department of Chronic Communicable Disease,Jiangsu Provincial Center for Disease Control and Prevention,Nanjing 210009,China;Jiangsu Provincial Administration of Disease Control and Prevention,Nanjing 210008,China)

机构地区：[1]江苏省疾病预防控制中心慢性传染病防制所,南京210009 [2]江苏省疾病预防控制局,南京210008

出　　处：《中国防痨杂志》2025年第5期559-568,共10页Chinese Journal of Antituberculosis

基　　金：中华预防医学会加强重大传染病防控的政策倡导项目(INV-035022)。

摘　　要：结核病防治服务体系是实施结核病防治规划的主体。随着结核病疫情的变化和经济社会水平的发展,我国的结核病防治服务体系也在不断调整变化。21世纪以来,逐步形成了由结核病定点医疗机构负责结核病的诊断与治疗,疾病预防控制中心负责结核病防治工作规划、管理和评估,基层医疗卫生机构负责患者治疗过程中的随访管理的“三位一体”防治体系。“三位一体”的结核病防治服务体系建设虽然取得了较好效果,但也存在着政府主导不够、体系能力建设不足、经费投入欠缺和部门协同不畅等问题。本研究旨在分析我国结核病防治服务体系的运行现状、存在问题的基础上提出建议,以期进一步优化我国结核病防治服务体系,提高结核病防治工作的质量。Tuberculosis control service system is the main body of implementing tuberculosis control program.Since the 21st century,China has been trying to establish a“Trinity”tuberculosis prevention and control mode in which designated tuberculosis hospitals are mainly responsible for tuberculosis diagnosis and treatment,Centers for Disease Control and Prevention for planning,managing and evaluating the prevention and control work,and primary medical and health institutions for following-up and managing tuberculosis patients during their treatment process.Currently,the construction of the“Trinity”tuberculosis prevention and control service system in China has achieved good results.However,there are still some problems remained,such as insufficient government leadership,insufficient system capacity building,lack of funding,and poor interdepartmental coordination.This study aims to analyse current operation situation of the tuberculosis prevention and control service system in China,identify problems and put forward suggestions,so as to further optimize the tuberculosis prevention and control service system and improve the quality of tuberculosis prevention and control work in China.

关 键 词：结核 传染病控制 能力建设 总结性报告(主题) 

分 类 号：R521[医药卫生—内科学] R197.1[医药卫生—临床医学]