摘要
目的评价荣县结核病归口管理效果,探讨后续管理中的可操作性。方法随机抽取29家综合医院作为调查点,采取依法监督的措施加强落实结核病归口管理,对实施前后综合医院归口管理情况进行调查对比。结果加强归口管理后综合医院肺结核病患者疫情报告率和转诊率分别由42.4%和25.2%提高到84.2%和82.7%;规则治疗率由63.3%提高到95.8%;治愈率由61.2%提高到94.1%;死亡率由12.7%下降到2.8%。结论荣县加强归口管理措施后,综合医院肺结核病患者疫情报告率和转诊率、规则治疗率及治愈率均有明显提高。
Objective To evaluate the effect of tuberculosis convergence case-management, and discuss the feasibility in the future management. Method Twenty nine general hospitals were chosen at random from all kinds of hospitals in Rongxian county, and some measures of lawful supervision were taken to carry out tuberculosis convergence case-management. Tuberculosis convergence case-management situation in general hospitals before and after taking the measures was investigated and compared. Results Through lawful supervision and after convergence ease-management, the pulmonary tuberculosis patients transfer and report rates in general hospitals went up from 42. 4%, 25.2% to 84. 2%, 82. 7%, the rates of regular treatment and cure went up from 63.3% , 61.2% to 95.8%, 94. 1% , and the death rate went down from 12.7% to 2. 8%. Conclusion It's effective to strengthen sanitary administrative intervention and lawful supervision for carrying out tuberculosis convergence case-management in general hospitals.
出处
《职业卫生与病伤》
2009年第2期74-76,共3页
Occupational Health and Damage
基金
世界银行贷款中国结核病控制项目(卫Ⅴ)
关键词
肺结核
归口
管理
Pulmonary tuberculosis
Convergence
Management