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目的比较贵州省结核病防治的定点医院模式和疾控中心模式的实施情况,以评价结核病定点医院的可行性。方法通过结核病管理信息系统收集贵州省17个县定点医院模式运行一年和之前在疾控中心模式下运行一年的各项指标,比较两种模式下的质量差异。结果 17个县在定点医院模式下发现的结核患者数较疾控模式下增长4.5%,定点医院模式下新涂阳患者治愈率(88.3%)、涂阴患者治疗成功率(87.2%)及病案录入及时率(98.8%)等指标低于疾控模式(分别为91.2%、89.0%、99.6%,P均<0.01),但均达到国家规划要求。结论定点医院模式下肺结核患者管理的各项工作指标均能达到国家规划要求,能适应当前结核病防治工作的发展需求。
Objective To compare the implementation of the designated hospital mode and the CDC model in prevention and treatment of tuberculosis in Guizhou Province in order to evaluate the feasibility of designated hospitals for tuberculosis. Methods Through the TB management information system, the indicators of one-year running of fixed-point hospitals in 17 counties in Guizhou Province and one year of operation in CDC mode were collected, and the quality differences between the two modes were compared. Results The number of tuberculosis patients in 17 counties was increased by 4.5% compared with that of disease control mode in fixed-point hospitals. The cure rate of new smear-positive patients (88.3%) in fixed-point hospitals and the successful treatment of smear-negative patients (87.2% The rate of timely entry (98.8%) was lower than that of disease control (91.2%, 89.0%, 99.6%, respectively, P <0.01), but both reached the national planning requirements. Conclusion The indicators of tuberculosis management under the fixed hospital model all meet the national planning requirements and can meet the development needs of the current tuberculosis prevention and control work.