摘要
目的评价采取强化干预措施在非结防机构报告患者转诊追踪工作中的作用和效果。方法通过在干预地区采取规范转诊追踪程序等强化措施,以转诊率、转诊到位率和总体到位率为指标,分析评价干预期间与去年同期各项指标的变化。结果干预期间(2008年4月1日-2009年3月31日)的转诊率、转诊到位率、追踪到位率和总体到位率分别为86.8%、41.3%、72.2%和83.7%,高于前1年同期水平(P<0.05)。干预期间有99例患者转诊未到位,其中80例来自辖区外医疗机构报告,占未到位患者的80.8%;未到位原因中,电话地址不详和在外工作是患者未到位的主要原因,分别占未到位患者的38.4%和35.4%。结论关注转诊追踪工作的每一个环节,采取综合性强化干预措施,是提高转诊患者到位的关键。
Objective To evaluate the role and effect of strengthened intervention in referring and tracing of suspected TB patients reported by hospital. Methods The strengthened interventions such as standardizing the referring and tracing procedure were taken. Referred rate, referred-arrival rate and overall arrival rate were compared between the intervention year and the previous year. Results The referred rate, the referred-arrival rate, the tracing-arrival rate and the overall-arrival rate were 86.8%、41.3%、72.2% and 83.7% respectively in the intervention year, significantly higher than the level of the previous year（P〈0.05）. In the intervention year, 99 suspects didn’t go to TB dispensary after referral, among which 80 were not reported by local hospital, accounting for 80.8%. Working outside the local county and wrong telephone number and address are the main reasons for suspected not attending the TB dispensary for diagnosis. Conclusion Taking the comprehensive strengthened interventions and focusing on every step in suspects referring and tracing are essential in improving suspected patients’ arrival.
出处
《中国防痨杂志》
CAS
2010年第7期366-369,共4页
Chinese Journal of Antituberculosis
基金
国家"十一五"重大传染病专项资助(2009ZX0003-018)
关键词
结核
肺/预防和控制
病人转诊
tuberculosis
pulmonary/prevention and control
patient transfer
