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目的分析江西省2011-2015年结核病防治(下称结防)规划的执行情况。方法按照《江西省结防规划(2011-2015年)》实施效果评估方案,收集11个设区市和100个县(市、区)《江西省结防规划(2011-2015年)》实施评估调查表。结果江西省5年间投入了大量人力、经费,建立了较好的结核病医疗保障制度,累计发现活动性肺结核患者173 872例,其中涂阳肺结核患者90 877例;2011~2014年新涂阳和复治涂阳肺结核患者治愈率均达85%以上,2015年实验室工作、耐多药肺结核诊治、艾滋病与结核病双重筛查等工作相比2011年取得较大进展。5年减少死亡人数43 522人,避免感染肺结核785 517人,避免新发肺结核患者78 551人,减少社会医疗费用5 351万元,避免因劳动力损失而挽回的社会总价值达236.15亿元。结论江西省2011~2015年间通过实施结核病控制策略,全省结防工作成效显著,取得了较好的经济和社会效益。但仍要重点加大省级和县级结防机构人力资源建设,对重点人群、脆弱人群甚至全人群开展针对性、多样化的健康促进,推动新形势下结防工作的可持续发展。
Objective To analyze the implementation of the plan for prevention and control of tuberculosis (hereinafter referred to as “prevention and treatment”) in Jiangxi Province from 2011 to 2015. Methods According to the evaluation plan of implementation effect of “Prevention and Control of Focal Points in Jiangxi Province (2011-2015)”, the assessment of implementation of “Prevention and Fighting Planning in Jiangxi Province (2011-2015)” in 11 districts and cities and 100 counties (cities and districts) Questionnaire. Results A large amount of manpower and funds were invested in Jiangxi Province in the past five years. A good TB medical insurance system was set up and a total of 173 872 active tuberculosis patients were found, of whom 90 877 were smear positive pulmonary tuberculosis patients. In 2011-2014, The cure rate of smear-positive pulmonary tuberculosis patients reached more than 85%. In 2015, laboratory work, MDR-TB diagnosis and treatment, AIDS and tuberculosis double screening made great progress compared with 2011. Five years to reduce the death toll 43 522, to avoid infection of 785 517 tuberculosis, to avoid 78 551 new tuberculosis patients, to reduce the social medical expenses 53.51 million yuan, to avoid loss of labor due to the total social value of 236.15 billion yuan. Conclusion Through implementing the TB control strategy from 2011 to 2015 in Jiangxi Province, the province’s prevention and control work has achieved remarkable results and achieved good economic and social benefits. However, we should still focus on increasing the human resources of provincial and district prevention and control institutions, carry out targeted and diversified health promotion to key populations, vulnerable groups and even the entire population, and promote the sustainable development of the prevention and control work in the new situation.