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目的 综合评价广西壮族自治区4种结核病防治(简称“结防”)模式实施效果,为完善结核病防治服务体系建设提供科学的参考依据.方法 采用目的 抽样法选取2012年10月至2013年10月广西壮族自治区现行4种结防模式(CDC模式、定点医院模式、结防院模式和结防所模式)地区,通过现场查阅资料、问卷调查和实验室批量测试等方法 收集资料,确定综合评价指标体系后,采用逼近理想解排序法(technique for order preference by similarity to ideal solution,TOPSIS)综合评价广西4种结防模式的实施效果.结果 共确定12个综合评价指标,分别为配套经费到位率(X1)、结防人员配备率(X2)、初诊患者查痰率(X3)、批量测试量化误差发生率(X4)、总体到位率(X5)、新涂阳患者治愈率(X6)、涂阴患者完成疗程率(X7)、县(区)级对乡镇级督导工作完成率(X8)、确诊病案信息录入及时率(X9)、录入信息一致率(X10)、结防人员总体满意度(X11)、肺结核患者总体满意度(X12).CDC模式地区X1至X12指标数据依次为84.6%、84.2%、64.8%、66.7%、97.7%、88.4%、83.1%、88.2%、100.0%、55.0%、36.0%、80.0%;定点医院模式地区X1至X12指标数据依次为100.0%、94.1%、86.3%、22.2%、99.6%、93.3%、83.6%、138.7%、99.6%、30.0%、44.7%、74.6%;结防院模式地区X1至X12指标数据依次为100.0%、74.1%、57.0%、42.9%、99.7%、88.3%、91.3%、68.5%、98.9%、20.0%、41.1%、74.8%;结防所模式地区X1至X12指标数据依次为100.0%、74.3%、48.6%、33.3%、97.5%、96.2%、95.1%、75.0%、99.8%、35.0%、21.7%、78.1%.定点医院模式地区在肺结核患者的发现、治疗和管理工作中具有优势,实施效果综合评价结果 排序位居第一(Ci=0.692).结论 在相关经费补偿和各项保障措施得到有效落实的前提下,定点医院模式在广西壮族自治区具有较好的推广应用前景,但需要因地制宜稳步推行.“,”Objective To comprehensively evaluate the implementation effect of four tuberculosis (TB) control modes in Guangxi, in order to provide scientific references for improving TB control service system construction.Methods In October 2012 to October 2013, the four TB control modes (the CDC mode, the TB designated hospital mode, the TB special hospital mode, the TB dispensary mode) areas were selected by using the purposive sampling method, the data of the implementation situation of TB control work were collected by consulting information, questionnaire survey, laboratory batch test and so on.The comprehensive evaluation indexes system was determined, and technique for order preference by similarity to ideal solution (TOPSIS) was used to comprehensively evaluate the implementation effect of four TB control modes.Results Twelve comprehensive evaluation indexes were determined, which included matching funds appropriative rate (X1), personnel allocation rate (X2), sputum examination rate of initial cases (X3), incidence rate of batch test quantitative error (X4), overall arrival rate of referral patients (X5), cure rate of new smear-positive patients (X6), treatment completion rate of smear-negative patients (X7), supervision accomplishing rate (X8), rate of medical information recorded timely (X9), agreement rate of medical information recorded (X10), overall satisfaction rate of TB control staff (X11), overall satisfaction rate of TB patients (X12).The data of the index X1 to X12 in CDC mode area were 84.6%, 84.2%, 64.8%, 66.7%, 97.7%, 88.4%, 83.1%, 88.2%, 100.0%, 55.0%, 36.0%, 80.0% respectively, which respectively were 100.0%, 94.1%, 86.3%, 22.2%, 99.6%, 93.3%, 83.6%, 138.7%, 99.6%, 30.0%, 44.7%, 74.6% in TB designated hospitals mode area, those in TB special hospital mode area were 100.0%, 74.1%, 57.0%, 42.9%, 99.7%, 88.3%, 91.3%, 68.5%, 98.9%, 20.0%, 41.1%, 74.8%, and those in TB dispensary mode area were 100.0%, 74.3%, 48.6%, 33.3%, 97.5%, 96.2%, 95.1%, 75.0%, 99.8%, 35.0%, 21.7%, 78.1% respectively.TB designated hospitals mode area had advantages in case detection, treatment and management, and the comprehensive efficiency of TB control in TB designated hospitals mode area ranked first (Ci=0.692).Conclusion The TB designated hospital mode has a good application prospect on the premise of funds compensation and effective implementation of various supporting measures, but it needs to be steadily practice by adjusting measures to local condition in Guangxi.