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目的了解实施定点医院结核病防治模式的影响因素,为制定我国定点医院结核病防治工作指导意见提供依据。方法2010年6月招募6个定点医院模式试点地区的省市级结防机构管理人员和业务人员进行专题小组讨论。结果医院的专业技术优势、抗医疗纠纷能力、信誉度、经济效益、临床医生的重视程度、社会医疗保险、非定点医院的转诊工作、药品管理和督导管理等因素对实施定点医院结核病防治模式有不同程度的影响。结论医疗机构具有参与结防工作的有利条件,但经济效益是实施定点医院结核病防治模式必须考虑和解决的问题。
Objective To understand the influencing factors of implementing TB prevention and control in designated hospitals and to provide evidences for developing guidelines for tuberculosis prevention and control in designated hospitals in China. Methods In June 2010, specialists and managers from the prevention and treatment institutions at provincial and municipal levels in six pilot hospitals were recruited. Results Hospital professional and technical advantages, anti-medical dispute capacity, credibility, economic benefits, the degree of attention of clinicians, social health insurance, referral of non-designated hospitals, drug management and supervision and management and other factors on the implementation of the designated hospital tuberculosis prevention and control mode Have different degrees of influence. Conclusion Medical institutions have the favorable conditions to participate in the prevention and treatment work. However, the economic benefits are the problems that must be considered and solved in implementing the prevention and cure of tuberculosis in designated hospitals.