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目的 探索结核病控制纳入初级卫生保健指标中实施的可行性。方法 将 13项“初保”指标增加为 14项 ,分值增加 10分 ,并把结核病控制的各项指标进行量化以方便操作。结果 (1)涂阳新登记率较纳入前增长 57.4 % ;(2 )新登记涂阳病人来源转诊占 59% ;(3)涂阳病人治愈率较纳入前净增了 15.6 % ;(4)失联系率下降了 6 5% ;(5)结核病的死亡率年均递降 13.9% ,达到了国内较低水平。结论 结核病控制纳入“初保”是加速结核病控制进程、促进疫情下降的有效途径。
Objective To explore the feasibility of incorporating control of tuberculosis into primary health care indicators. Methods Thirteen items of “initial insured” were increased to 14 items and the score increased by 10 points. The indicators of tuberculosis control were quantified to facilitate the operation. Results (1) The new registration rate of smear-positive was 57.4% higher than that of before enrollment; (2) The referral of smear positive patients accounted for 59%; (3) The cure rate of smear positive patients increased 15.6% The contact loss rate dropped by 65%. (5) The average death rate of tuberculosis dropped by 13.9% annually, reaching a relatively low level in China. Conclusion The inclusion of TB control in the “primary care insurance” is an effective way to speed up TB control and reduce the outbreak.