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目的分析非结防机构报告肺结核或疑似肺结核患者转诊与追踪情况,探讨进一步改进工作方法。方法采用SPSS11.5统计软件,对湖北省2010—2015年不同类型肺结核患者(实验室诊断患者、临床诊断患者和疑似患者)的转诊到位率、追踪率、追踪到位率与排除率之间的差异进行比较;并对现场专项督导时收集的资料进行分析。结果转诊到位率为54.98%,不同类型患者转诊到位率差异有统计学意义(χ~2=288.76,P<0.05);追踪率为99.54%,追踪到位率为90.66%,不同类型患者追踪率和追踪到位率差异有统计学意义χ~2值分别为15.60和1 510.93(P<0.05);到位排除率为57.55%,不同类型患者到位排除率差异有统计学意义(χ~2=10 982.34,P<0.05)。结论湖北省疑似肺结核患者到位率有所提升,仍需进一步加强医防合作,提高结防机构业务能力,加大宣传力度,降低到位排除率。
Objective To analyze the referral and follow-up of non-TB institutions reporting TB or suspected TB cases and explore ways to further improve their working methods. Methods SPSS11.5 statistical software was used to analyze the relapse rate, follow-up rate, follow-up rate and exclusion rate of different types of tuberculosis patients (laboratory diagnosed patients, clinical diagnosed patients and suspected patients) in Hubei Province from 2010 to 2015 Differences were compared; and on-site special supervision of the data collected for analysis. Results The referral rate was 54.98%. There were significant differences in the referral rates among different types of patients (χ ~ 2 = 288.76, P <0.05). The follow-up rate was 99.54% and the follow-up rate was 90.66% There was significant difference between the two groups (χ ~ 2 = 10.60 and 1 510.93, respectively) (P <0.05), and the rate of in-place exclusion was 57.55%. There was significant difference between the two groups 982.34, P <0.05). Conclusions The suspicion rate of TB patients in Hubei Province has been raised. It is still necessary to further strengthen medical cooperation and prevention, enhance the operational capacity of prevention and treatment institutions, intensify propaganda and reduce the exclusion rate in place.