全国结核病专科医院调查分析

Investigation and analysis of the nationwide TB special hospitals

目的了解全国结核病专科医院的基本情况,以及这些机构在肺结核患者发现、登记、报告以及转诊等方面的工作,为进一步探索结核病专科医院与结防机构之间的合作提供依据。方法中国疾控中心结核病预防控制中心将设计的调查表逐级下发给省市县各级疾病预防控制中心,由符合调查条件的专科医院进行填报,各省疾病预防控制中心进行汇总后上报,对省级上报的结果进行汇总与分析。结果调查专科医院77个,共有2.1万专业技术人员,且以中高级职称为主(占52.0%);2007年1季度专科医院结核病门诊量为26.9万人次数,肺结核疫情报告人数为3.2万人,占全国第1季度网络报告肺结核患者数33.5万人的9.6%,转诊肺结核患者2.6万人,占其结核门诊量的9.7%。结论结核病专科医院具有一定数量的业务技术人员和收治患者的能力,并且在结核病控制工作中做了大量的工作;应尽快将结核病专科医院纳入结核病防治体系,加强结核病专科医院同结防机构之间的合作,建立有效的长期合作机制,这将是今后结核病防治的重要工作之一。

Objective To understand the basic situation of nationwide TB special hospitals,and their work in TB case-finding,registration,reporting,referral in order to further provide evidence base for cooperation between tuberculosis special hospitals and TB control institutions. Methods Investigation forms were designed by NCTB and distributed to all eligible TB special hospitals through provincial CDC. NCTB made a summary and analysis of this investigation. Results There are a total of 77 eligible TB special hospitals nationwide,among which hold 210 000 professional and technical personnel,with predominance of middle and high level staff in terms of professional title （52.%）; In 1st Quarter 2007,there are a total of 269 000 person-times of outpatients service,32 000 TB cases were reported to internet-based PTB reporting system,accounting for 9.6% of 335 000 which is total cases reported in this system during same period. 26 000 TB cases were referred to TB institutions,accounting for 9.7% of outpatient service of TB institutions. Conclusions TB specialist hospitals have a certain number of technical personnel and capacity in patient treatment,did a large amount of work for TB control in China.Therefore,there is a need to incorporate TB special hospitals into TB prevention and control system as soon as possible,and strengthen the cooperation between TB control institutions and TB special hospitals,establish an effective mechanism for long-term cooperation. This will be one of important component for future TB control work in China.