摘要
目的评价洛阳市、区医疗机构与结核病防治机构合作的效果,为结核病防治工作的可持续发展提供依据。方法收集并分析2005—2008年洛阳市、区医疗机构肺结核病人疫情报告与转诊资料。结果有网络直报医疗机构转诊到位率、到位病人总检出率、涂阳检出率、到位病人占总登记初诊病人百分比和检出病人占总确诊病人百分比分别从2005年的76.12%、18.16%、36.07%、46.43%和32.19%提高到2008年的90.26%、23.92%、45.49%、48.26%和48.41%;无网络直报医疗机构及诊所转诊到位数从2005年的327例提高到2008年的817例,其余4项指标分别从2005年的8.87%、24.14%、7.53%和2.55%提高到2008年的11.26%、38.04%、16.69%和7.88%。结论加强医疗机构肺结核病人疫情报告与转诊工作,是提高肺结核病人发现率的有效方法,是结核病防治工作可持续发展的重要措施。
OBJECTIVE To provide the evidence of maintaining sustainable development for TB control by evaluating the cooperation effect of municipal medical institutions and TB dispensary in Luoyang City. METHODS Annual reports on TB epidemic situation and referring data of Luoyang Municipal Medical Institutions from 2005 to 2008 were collected and analyzed. RESULTS The rate of referred from medical institutions with net reporting system and cases arrived in TB dispensary. The hole detection rate of arrived patients and smear-positive detection rate, the percentage of arrived patients to hole registered patients who first visit to a doctor and the percentage of detected patients to whole diagnosed patients promoted from 76.12%, 18.16%, 36.07%, 46.43%, 32.19% in 2005 to 90.26%, 23.92% , 45.49% , 48.26% , 48.41% in 2008 respectively. The data of referred from medical institutions and clinics without net reporting system and cases arrived in TB dispensary promoted from 327 in 2005 to 817 in 2008. the other four indexes promoted from 8.87%, 24.14%, 7.53%, 2.55 % in 2005 to 11.26%, 38.04%, 16.69%, 7.88% in 2008 respectively. CONCLUTION It’s a effective method of promoting the finding rate of TB patient by enhancing the work on TB epidemic situation reporting and TB case referring from medical institutions. It’ s also an important measure for maintaining sustainable development of TB control. City districts four levels anti-TB network have an important function for TB control.
出处
《中国初级卫生保健》
2010年第8期67-69,共3页
Chinese Primary Health Care
关键词
肺结核
转诊
医疗机构
pulmonary tuberculosis
transfer treatment
medical institution