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日照市“实现五率阶段性目标,提高DOTS质量”结核病控制项目实施效果评价

Evaluation Studies on the Effectiveness of Tuberculosis Control Project for "Achieving Five-Rate Phased Goals,Improving the Quality of DOTS" in Rizhao City
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摘要 目的评估日照市"实现五率阶段性目标,提高DOTS质量"结核病控制项目实施的效果。方法通过对3个项目区(县)的政策与措施、肺结核患者的报告、转诊、追踪、患者系统管理、密切接触者筛查、结防知识培训等资料进行收集整理,使用SPSS 17.0统计软件进行统计学分析。结果全市医疗机构报告率由90.83%提高到100%,实施前后差异有统计学意义(P<0.01);转诊到位率由58.98%提高到95.96%,实施前后差异有统计学意义(P<0.01);追踪到位率由82.47%提高到96.70%,实施前后差异有统计学意义(P<0.01);患者系统管理率由82.64%提高到98.42%,实施前后差异有统计学意义(P<0.01)。涂阳患者家属密切接触者筛查率保持了100%。结论 "实现五率阶段性目标,提高DOTS质量"结核病控制项目的实施,为提高结核病防治工作质量,提供了合理有效的措施。 Objective To assess the effectiveness of tuberculosis control project for "achieving five - rate phased goals, improving the quality of DOTS" in Pdzhao city. Methods The data were collected and analyzed on the policy and meas- ures in three project - covered districts (counties), as well as the reports, referral, tracing and systematic management of TB cases, screening of close contacts and health education on TB prevention and control. SPSS17.0 soft- ware was used for statistical analysis. Results The reporting rate by medical institutions increased from 90.83% to 100% (P 〈0.01 ) ; the arrival rate of referral increased from 58.98% to 95.96% (P 〈 0.01 ) ; the arrival rate of tracing rose from 82.47% ) to 96.70% ( P 〈 0. 01 ) ; the rate of systematic management increased from 82.64% to 98.42% ( P 〈 0. 01 ). The screening rate of family close contacts of smear - positive pulmonary TB remained 100.0%. Conclusions The implementation of tuberculosis control project for "achieving five - rate phased goals, improving the quality of DOTS" pro- rides reasonable and effective measures for improving the quality of TB control
作者 陈为坤
出处 《社区医学杂志》 2013年第12期1-3,共3页 Journal Of Community Medicine
关键词 结核 预防 控制 肺结核 筛查 tuberculosis/prevention & control five- rate evaluation studies
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