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结核病人“管理在疾控、治疗在医院、随访督导在社区”的防控模式,在新形势下对社区随访督导有新的要求。目标:总结肺结核病人的社区督导管理情况,探索个案督导随访思路和方法,以更好地管理好肺结核病人。结果:2014年全年的肺结核病人系统管理率96.68%,取得较好效果。结论:督导者随访督导患者的单向联系方式改变为督导者和病人相互联系的互动联系方式能更好的管理肺结核患者。
Tuberculosis patients “management in disease control, treatment in the hospital, follow-up supervision in the community ” prevention and control mode, in the new situation of community follow-up supervision have new requirements. OBJECTIVE: To summarize the community supervision and management of tuberculosis patients and to explore ways and means of case supervision and follow-up so as to better manage tuberculosis patients. Results: In 2014, the systematic management rate of tuberculosis patients was 96.68%, which achieved good results. CONCLUSIONS: Changing the one-way contact information of the supervisor’s follow-up supervising patient to the interactive contact information of the supervisor and the patient can better manage the TB patients.