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目的评价贵港市聘用乡镇防保医生作为结核病防治管理员的管理新模式效果。方法收集2005年实施病人督导管理改革与2004年改革前后的有关资料和实际效果进行对比分析。结果2年贵港市共新登涂阳肺结核病人3316例,当前任务涂阳新登记率由2004年的31.82/10万,上升到2005年的38.43/10万,涂阳肺结核病人占活动性肺结核病人的比例由2004年的43.05%提高到2005年的51.95%。丢失率由2004年的2.33%下降到2005年的0.76%。规则治疗率由2004年的86.11%上升到2005年的97.09%。治愈率由2004年的85.09%提高到2005年的89.82%。结论贵港市结核病人督导管理新模式对本地区结核病控制工作有促进作用,取得了显著成效。
Objective To evaluate the effectiveness of the new management model of hiring township health insurance doctors in Guigang as tuberculosis control administrators. Methods The comparative analysis of the implementation of patient supervision and management reform in 2005 and the related data and actual results before and after the reform in 2004 was conducted. Results In the past two years, a total of 3316 new TB cases were found in Guigang City. The current registration rate of new smear-positive cases has risen from 31.82 / 100000 in 2004 to 38.43 / 100000 in 2005. The smear-positive pulmonary tuberculosis patients account for the active tuberculosis patients The proportion increased from 43.05% in 2004 to 51.95% in 2005. The loss rate dropped from 2.33% in 2004 to 0.76% in 2005. The regular treatment rate increased from 86.11% in 2004 to 97.09% in 2005. The cure rate increased from 85.09% in 2004 to 89.82% in 2005. Conclusion The new mode of supervising and managing tuberculosis patients in Guigang has a positive effect on tuberculosis control in the region and has achieved remarkable results.