加强县级结核病防治机构硬件建设提高结核病患者发现率的研究

THE RESEARCH ON HOW TO REINFORCE THE COUNTY TB ORGANIZATION HARDWARE CONSTRUCTION AND IMPROVE DETECTION RATE OF TB PATIENTS

目的本研究旨在探讨加强县级结核病防治机构硬件建设,达到提高结核病患者的发现率。方法开展基线调查;制定《保定市县级结核病防治机构建设标准》,县级疾病预防控制中心进行建设实施,卫生局现场评估验收。结果 2年内全市22个结核病防治门诊全部改(扩)建完成,完善了功能,其中专职人员增加28.87%;房屋数量增加44.95%;更新X线机84.62%、显微镜100%,新增通风柜100%。依照《保定市县级结核病防治机构建设标准》专家组现场评估验收,并评定等级。患者从改建前的基础上逐年增加,4年内初诊和确诊患者分别增加54.81%和42.23%。结论通过硬件建设等措施,提高了结核病防治机构的工作能力,使疑似肺结核患者就诊率、发现率逐年提高。说明加强县级结核病防治机构硬件建设是非常必要的。

Objective To improve the detection rate of tuberculosis (TB) patients through reinforcing hardware of TB organization in the county.Methods Baseline surveys was carried out,then the standard was drew up,which was put into practice by the county level TB organization.Finally,An assessment for it was completed by the public health bureau. Results Twenty two county level TB organizations' reconstruction and extension were completed. In two years,their functions were improved,and the full-time personnel increased by 28.87%; building quantity increased by 44.95% ; 84.62% X-ray machines,100% microscopes and 100% draft cupboards were renewed.The experts made ranking according to the standard.Compared to those of the former,the number of patients increased year by year,and the number of first diagnosis and definite diagnosis patient increased by 54.81% and 42.23% respectively in four years.Conclusion The measures of hardware construction improved the service ability of TB organization,incresed the rates of in treatment and detection of TB patients each year.It is very necessary to reinforce the county TB organization hardware construction.