结核病专科医院实施结核病人信息登记、转诊及转报工作制度的探索

Study on tuberculosis case registration and referral in special tuberculosis hospital

目的探索在省级结核病专科医院实施结核病人信息登记、转诊及转报制度的可行性和有效性。方法对2003年7月制定结核病人信息登记制度以来登记、转报的结核病人资料及动态变化进行分析。结果通过该制度的实施,加大了查痰力度,涂阳病人的比例由10．1％提高到23．3％,未查痰病人的比例由66．3％下降至16．5％;登记的结核病人全部转报至病人住址所在地的结防机构。结论结核病人信息登记、疫情报告、转诊和转报这一工作制度在省级结核病专科医院的建立和实施,提高了专科医院医务人员的痰检意识,结核病人信息集中管理以及定期向结防机构的转报,有利于防治机构采取措施对病人的进一步跟踪治疗管理。

Objectives To study the feasibility and effectiveness of regulations about case registration and referral in special tuberculosis hospital. Methods Analyzing the data on tuberculosis case registration and referral since the regulations came into effects in July 2003. Results Because of the practice of the regulations, awareness of sputum test was improved among clinicians. The finding rate of smear-positive cases was raised from 10.1% to 23.3%. The proportion of cases with no-smear test was decreased from 66.3 % to 16.5 %. All registered TB cases were notified to TB dispensaries where patients reside. Conclusion Regulations of case registration, notification, referral improved the awareness of conducting sputum test among clinicians in special Reporting relevant information to TB dispensary helps follow-up managements of TB patients.