流动人口肺结核患者跨区域转诊管理干预效果研究

Effect Analysis on Management of Emigrated Tuberculosis Patients

目的评价流动人口跨区域转诊管理干预措施效果。方法采用干预前后对照设计,于2008年10月1日开始针对辖区内管治的流动人口肺结核患者采用自行设计的跨区域转诊"患者强化宣教和转入地密切联系"干预,基线期为干预期前一年。结果调查时段共转出流动人口肺结核患者145名,转出率下降了0.3个百分点提前告知率从44.4%提高到64.9%,到位率约提高10个百分点达到56.1%,重登率从95.6%下降到62.5%。结论本研究设计的干预措施大幅度的提高了患者和转入地的配合度,但是对于患者到位率的提高有待进一步探索。

Objective To appraise the effect of intervention on cross-regional transference of tuberculosis patients among floating population.Methods A pre-and-post intervention comparison was adopted.On 1st October,2008,the research designed intervention ＂strengthened patient education and continuous communication with the professional tuberculosis control facility＂ on tuberculosis patients was executed,with the former one year as the baseline.Results Among the intervention period,145 patients were transference out totally;Compared with the baseline,the emigration rate declined an absolute value of 0.3%,informed rate before leaving increased from 44.4% to 64.9%,success transference rate reached to 56.1% （almost accelerated an absolute value of 10%） and re-registered rate decreased from 95.6% to 62.5%.Conclusion The intervention designed by this research has improved the compliance of patients and co-operation of health facility a lot,but the effect on the success transference needs further research.