2006~2008年永定县网络直报肺结核病例转诊与追踪情况分析

Analysis on the Network Reporting Pulmonary Tuberculosis Referral and Tracing in Yongding County from 2006 to 2008

[目的]了解永定县肺结核病人的转诊与追踪情况，探讨利用网络直报信息开展病人的追踪工作的方法。提高病人的发现水平。[方法]对2006～2008年永定县医疗单位网络直报肺结核病例转诊与追踪情况进行分析。[结果]2006~2008年，医疗机构报告肺结核病例1186例，其中重报334例，应转诊852例，转诊到位率为31．57％，追踪到位率为50．43％，总到位率为66．08％。289例追踪未到位病人中，因地址不详或错误的占37．72％，因经济困难或行动不便拒绝进一步就诊的占20．42％。[结论]永定县肺结核病人转诊到位率与追踪到位率很低，总体到位率不高·应加强转诊与追踪干预措施。

[Objective]To understand the referral and tracing of tuberculosis patients, explore the method for the network reporting of information to carry out the patient＇s tracing work,to improve the level of the patient＇s discovery. [Methods]Analysis was made on the referral and follow-up of reported cases of tuberculosis by direct network medical units in Yongding county from 2006 to 2008. [Results]From 2006 to 2008,of the 1 186 cases of tuberculosis reported by medical institutions,334 cases were re-reported, 852 cases should be referred, referral arrival rate was 31.57 % ,the follow-up rate was 50.43% ,the total rate was 66.08%. 289 cases were not tracked due to the unknown or wrong address,accounting for 37.72 %, due to economic difficulties or mobility cteclined further treatment, accounting for 20. 42%. [ConcluSiOn]The ref- erral arrival rate and the tracing arriving rate is very low among the pulmonary tuberculosis patients of Yongding, the overall arriving rate is not high,the referral and tracing interventions should be strengthened.