摘要
目的探索加强行政干预等措施对肺结核病人转诊工作的影响。方法对广东省湛江市区等20个县区采取加强病人转诊的干预措施,分析比较干预前后病人登记率、病人转诊到位率和追踪率。选择信宜县等20个县区作为对照组,比较两组肺结核病人发现情况。结果干预后,干预地区新涂阳肺结核登记率为36.6/10万,病人转诊到位率为76.2%,病人追踪率为88.9%,均较干预前有明显提高。干预地区病人追踪到位率为41.5%,高于对照地区的20.9%。结论在病人发现工作开展较好地区,通过加强病人转诊工作仍可在一定程度上提高肺结核病人发现水平。
Objective To explore the effect of strengthening the referral of patients and suspects from the hospital system to the TB dispensary in the case-finding of pulmonary tuberculosis. Methods Measures were taken to strengthen the referral of TB case from hospital system to the TB dispensary in 20 areas of Guangdong Province. The data of TB case notification rate, availability rate of referral TB case and contact tracing rate were measured to evaluate the effect. Results After intervention, the notification rate of PTB case with new smear-positive was 36.6/100000, the availability rate of referral with TB cases or suspects was 76.2 %, and the tracing rate for the referral was 88.9 % in intervention areas, all data were higher than those before intervention. The availability rate of the referrals in intervention areas was 41.5%, significantly higher than that in control area. Conclusion The level of TB case detection could be improved by strengthening the referral of TB cases and suspects even in areas where TB case-finding were better.
出处
《中国健康教育》
2008年第6期416-418,共3页
Chinese Journal of Health Education
基金
CIDA/KNCV资助课题
关键词
肺
结核
预防和控制
病人发现
病人转诊
Phlmonary
Tuberculosis
Prevention and control
Case-finding
Case-referral
