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目的通过对天津市两家区级定点医院结核病防治模式建立后运转情况的分析,总结经验并发现工作中存在的问题,使定点医院结核病防治模式越来越规范化,也为天津市定点医院结核病防治模式工作的进一步推动提供参考。方法收集两家定点医院2014年7月1日—2015年6月30日的结核病防治资料,结合结核病专报系统数据进行综合分析,整理市结核病控制中心对两家定点医院的督导记录。结果实施1年,确诊活动性肺结核病人77例,相比前1年上升了20.3%;因症就诊234例,相比实施定点医院前上升了18.8%;可疑结核病患者院内转诊其中1家定点医院上升了3.5%,另1家下降了13.0%,;涂阳肺结核患者诊断到发病的平均时间缩短了9天(18%),报告到诊断的平均时间缩短了0.192 a(67.8%);完成治疗率情况,1家上升了4%,另1家下降了7%,两家定点医院防治模式初步建立。结论两家结核病定点医疗机构在诊疗水平上能承担和胜任结核病防治工作,特别是在患者发现效率及患者治疗管理质量方面表现尤为突出,能够使卫生资源得以合理有效的利用,但是院内结核科位置的稳定性和就诊的方便性对结防工作也有一定的影响。
ObjectiveThrough the analysis of the operational status of tuberculosis prevention and control mode of two designated hospitals in Tianjin after the operation, we summarize the experience and find the problems in the work so that the mode of tuberculosis prevention and control in designated hospitals is more and more standardized, Model work to further promote provide a reference. Methods The data of tuberculosis prevention and control of two fixed-point hospitals from July 1, 2014 to June 30, 2015 were collected and combined with the data of tuberculosis special-purpose system to conduct a comprehensive analysis and organize the supervision records of the two TB hospitals by the TB Control Center. Results One year’s follow-up was confirmed in 77 patients with active pulmonary tuberculosis, up 20.3% compared with the previous year. 234 cases were diagnosed due to illness, an increase of 18.8% compared with that before the implementation of the designated hospital; one of the hospital-transferred in suspicious TB patients was designated The hospital increased by 3.5% and the other fell by 13.0%. The average time to diagnosis of smear-positive pulmonary tuberculosis patients was reduced by 9 days (18%), and the average time to report diagnosis was shortened by 0.192 years (67.8%). Treatment rate, an increase of 4%, the other a drop of 7%, two fixed-point hospital prevention and control mode was initially established. Conclusion The two TB TBOs can bear and handle tuberculosis prevention and treatment work at the level of diagnosis and treatment, especially in the efficiency of patient discovery and the quality of treatment and treatment of patients, which can make rational and effective use of health resources. However, The stability and convenience of the visit also have a certain impact on the work of the prevention and treatment of tuberculosis.