摘要
目的：充分发挥综合医院作用，提高肺结核病人发现率。方法：通过全面推行结核病控制策略（DOTS），改革防制模式，实行以一所综合医院为归口诊治、其他医院机构为归口转诊、疾控中心为归口管理模式，建立转诊制度，明确各自职责和分工。结果：全县传染源发现率平均已达96.7%；新发涂阳肺结核病新登记率从1995年-1999年30.1/10万上升到2000年-2005年44.50/10万，增长了47.8%；转诊率从1995年-1999年82.1%上升到2005年的98.5%，增长了20%。结论：改革后的结核病归口诊治管理模式，利用现有医疗资源，有效提高了肺结核病人的转诊率和涂阳病人的发现率，发挥了综合性医院对结核病控制工作的重要作用。
Objective To improve the case detection rate for tuberculosis in the TB control program. Methods The strategy of directly observed therapy （DOTS） for TB was implemented extensively. General hospital were used as TB ease diagnosis and treatment center and other hospitals as a ease referring and TB control center. A ease referring system was set up for TB and the segregation of duty between general hospitals and other hospitals was made clear. Results The average DOTS detection rate for smear-positive eases increased to 96. 7% in the whole county. The notification rate of new smear--positive eases increased from 30. 1/100,000 from 1995--1999 to 44.50/100,000 from 2000--2005, presenting an increase of 47.8%, The referring rate increased from 82.1% from 1995--1999 to 98.5 in 2005, presenting an increase of 20%. Conclusion The implementation of reformed ease referring system effectively utilized the existing medical resources and improved the referring rate of TB suspects and the detection rate for smear --positive eases, and therefore, made the general hospital play a critical role in TB control work.
出处
《中国农村卫生事业管理》
2007年第10期797-799,共3页
Chinese Rural Health Service Administration
关键词
结核
肺
预防和控制
综合性医院
Tuberculosis （TB）
pulmonary/prevention and control
general hospital
