区域医疗卫生机构可疑肺结核转诊情况分析

Analysis on referring TB suspects from health institutions to TB dispensaries

目的分析辖区医疗卫生机构可疑肺结核转诊的情况,探讨提高转诊率的措施。方法根据深圳市罗湖区1995—2001年结核病控制项目登记本、表卡、转诊本(单)和逐年对各级医疗卫生机构抽查考核记录进行综合评价。结果7年平均转诊到位率为89.4%,涂阳登记率由1995年14.3/10万,提高到2001年的30.7/10万,转诊的5941例发现活动性病人2132例占全部发现活动性病人的83.7%。结论各级医疗卫生机构,尤其是综合医院是发现病人的主要来源,加强辖区综合医院转诊的管理,进一步规范转诊程序,从而提高转诊到位率。

objective To analyze situation of referring TB suspects from health institutions to TB dispensaries and explore the measures for strengthening referring system. Method The data was coming from registers, forms, cards, referring registers and sheets, and monitoring reports to health institutions at different levels in Shenzhen Luohu Distric during 1995-2001. Results The average successful referring rate of tuberculosis suspects was 89.4% during the seven years. The registration rate of smear positive patients was raised from 14.3 / 100,000 to 30.7/ 100,000 since 1995. 2?132 of 5?941 referred cases were confirmed as active TB , 83.7% of smear positive cases detected in TB dispensary were referred from health facilities. Conclusion The health facilities, especially hospitals, are importance sources where tuberculosis cases are detected. Case-finding could be improved through strengthening referring system.