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目的分析和评价滑县结核病“三位一体”防治新模式成效,探讨基层结核病防治工作的可持续发展。方法对2011-2014年新模式建立前后的结核病防治成效进行比较和评价。结果 2011-2014年县结核病门诊疑似患者平均就诊率235.9/10万,可疑病人就诊有下降趋势;全县活动性肺结核报告患病率平均52.9/10万,结核病疫情有回升趋势;结核病病人系统管理率均在97.0%以上,无明显差别;本县肺结核患者异地就诊比例平均在23.2%,由2012年的最高30.1%下降至2014年的20.4%。结论在政策、经费、制度专业防治队伍以及流动人口等因素影响下,滑县“三位一体”结核病防治新模式已初见成效,但结核病防治体系建设仍需要进一步巩固和完善,结核病防治工作有待加强。
Objective To analyze and evaluate the effectiveness of tuberculosis prevention and control in Huaxian County and to explore the sustainable development of prevention and control of tuberculosis. Methods The effectiveness of prevention and treatment of tuberculosis before and after the new model was established in 2011-2014 were compared and evaluated. Results In 2011-2014, the average visiting rate of suspected tuberculosis patients was 235.9 / 100000, and the number of suspicious patients decreased. The prevalence of active tuberculosis in the county averaged 52.9 / 100000 and the TB epidemic was on the rise. The systematic management of tuberculosis patients Rates were above 97.0%, no significant difference; the proportion of remote treatment of tuberculosis patients in this county averaged 23.2%, from the highest 30.1% in 2012 to 20.4% in 2014. Conclusion Under the influence of the policy, funding, system of professional prevention and control team and floating population and other factors, the new model of “Trinity” tuberculosis prevention and control in Huaxian County has achieved initial success. However, TB prevention and treatment system still needs to be further consolidated and perfected, and tuberculosis prevention and treatment needs further work. strengthen.