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目的通过分析三亚市综合医院网络报告肺结核患者转诊和结防机构追踪情况,探讨采取综合干预措施对提高患者发现水平所取得的成效。方法收集2006年和2007年综合医院网报的疑似肺结核患者到位信息和结防机构追踪情况等资料,利用SPSS13.0软件,对2006年与2007年的有关数据进行处理和分析。结果2007年转诊到位率为50.1%,比干预前的2006年上升了27.5%(χ2=102.733,P<0.0001);追踪率、追踪到位率分别为100.0%和43.9%,分别比2006年增加了8.7%和7.7%;2007年总体到位率为71.9%,比2006年上升了30.8%(χ2=121.495,P<0.0001);干预后2007年通过转诊、追踪发现的涂阳患者比2006年增加12.1%(χ2=18.162,P<0.0001)。结论采取行政干预、规范转诊追踪程序和有效的激励机制后,病人转诊和追踪工作取得明显效果。
Objective To analyze the follow-up of referral and antistress for tuberculosis patients through the network of Sanya general hospital network and explore the effect of adopting comprehensive interventions to improve the level of patients’ findings. Methods The information of patients with suspected pulmonary tuberculosis in 2006 and 2007 and the follow-up of prevention and treatment institutions were collected. The data of 2006 and 2007 were processed and analyzed by using SPSS 13.0 software. Results The referral rate in 2007 was 50.1%, an increase of 27.5% (χ2 = 102.733, P <0.0001) compared with 2006 before intervention. The follow-up rates and follow-up rates were 100.0% and 43.9% respectively, which were respectively higher than those in 2006 (Χ2 = 121.495, P <0.0001). After the intervention, the number of smear-positive patients found by referral and follow-up in 2007 was 71%, compared with that of 2006 An increase of 12.1% (χ2 = 18.162, P <0.0001). Conclusion After taking administrative intervention, standardizing referral and follow-up procedure and effective incentive mechanism, the patient referral and follow-up work achieved significant results.