摘要
目的评价陕西省结核病防治"十二五"规划实施效果,探讨结核病防治工作存在的问题,为政府制定防治策略提供依据。方法按照《全国结核病防治规划》(2011—2015年)评估方案,使用全国统一调查表对全省"十二五"规划实施情况进行自查,结果统一录入数据库,并自上而下逐级进行复核。患者发现、追踪、治疗管理等数据来源于传染病直报系统、结核病专报系统。最终资料统一录入Epi Data 3.1软件进行汇总,利用SPSS 19.0进行统计分析,采用χ~2趋势检验分析变化趋势,以P<0.05为差异有统计学意义。结果各级政府均制定结核病防治"十二五"规划,5年共投入防治经费19 904.9万元。全省基本建立"疾控机构、定点医院、基层医疗卫生机构协调配合"的新型结核病防治管理模式。全省活动性肺结核报告发病率由2011年的67.81/10万下降到2015年的56.69/10万。5年共发现活动性肺结核106 639例,其中新涂阳患者23 285例,治愈21 923例,治愈率为94.15%。规划期间全省有效避免35万人受感染,挽回社会总价值200.4亿元。结论陕西省"十二五"规划实施取得显著成绩,政府重视,多部门合作机制建立,结核病防治服务体系健全,疫情明显下降。但防治能力、医防合作、耐药防治工作等需要进一步强化。
[Objective]To evaluate the implementation effect of ＂12th Five-Year＂ plan for tuberculosis prevention and control in Shaanxi Province,discuss the problems existing in the prevention and control of tuberculosis,and provide the basis for the government to formulate strategies for prevention and control.[Methods]According to the evaluation scheme of the National tuberculosis control program（2011-2015）,the implementation of ＂12th Five-Year＂ plan for tuberculosis prevention and control in Shaanxi Province was evaluated by the unified questionnaire,the results were input in the database,and a top-down review was conducted.The data of patient＇s discovery,follow-up,treatment,management were derived from the infection diseases reporting system（IDRS）and tuberculosis management information system. Finally,the data were recorded in the Epi Data 3.1 software,and analyzed by SPSS 19.0. Chi square trend test was used to analyze the variation trend,and P value less than 0.05 denoted to significance.[Results]All levels of government developed ＂12th Five-Year＂ plan for tuberculosis prevention and control,and totally19 904.9 thousand yuan were put into prevention and control during 5 years. A new tuberculosis prevention and control mode of coordination among disease control institutions,designated hospitals and primary medical and health institutions was established.The reporting incidence of active pulmonary tuberculosis decreased from 67.81/lakh in 2011 to 56.69/lakh in 2015. Dur ing5 years,there were 106 639 cases of active pulmonary tuberculosis,including 23 285 new smear positive cases,21 923 cases were cured with the cure rate of 94.15%. Totally 350 thousand people were protected from infection,saving society＇s total value of20.04 billion yuan.[Conclusion]The ＂12th Five-Year＂ plan for tuberculosis prevention and control in Shaanxi Province has made remarkable achievements,and the system which is leaded by government with mltisectoral cooperation has been established. The service system of tuberculosis prevention and control is perfect,and the epidemic situation of tuberculosis has significantly decreased.However,the prevention and control ability,medical cooperation and drug resistance control need to be further strengthened.
作者
邓亚丽
刘卫平
张天华
马煜
张宏伟
DENG Ya-li LIU Wei-ping ZHANG Tian-hua MA Yu ZHANG Hong-wei(Tuberculosis Prevention and Control Institute of Shaanxi Province ,Xi ＇ an Shaanxi, 710048, China)
出处
《职业与健康》
CAS
2017年第16期2210-2214,共5页
Occupation and Health
基金
陕西省疾病预防控制重大科研课题(0617-15240415)
关键词
结核
预防和控制
评价研究
Tuberculosis
Prevention and control
Evaluation study
