青海省非防机构网络直报肺结核病人转诊追踪情况分析

Analysis on the situation of checking and tracking for pulmonary tuberculosis cases from internet-based reporting of non tubercular institutions of Qinghai province

目的分析青海省非结防机构网络直报肺结核病人追踪情况分析,评价综合医疗机构利用传染病网络进行疑似肺结核病人转诊对肺结核病人发现工作的作用,为提高结核病人发现率提供参考依据。方法收集青海省2009-2010年非结核病机构网络报告情况工作报表,统计分析非结防机构网络直报肺结核病人的转诊、追踪及到位情况。结果 2009-2010年青海省非结防机构网络直报疑似肺结核病人7 716例,经转诊后主动到位2332例,转诊主动到位率30.2%;经结防机构追踪后到结防机构就诊病人共数4 396例,总体到位率55.68%,明显高于转诊主动到位率。结论加强国家对结核病免费治疗政策的宣传,将有效提高非结防机构网络直报中病人的转诊到位工作;加强对医院结核病报病的管理,及时认真地进行网络报病,将有利于结防机构对病人核查追踪工作。

Objective To analyze the situation of checking and tracking of pulmonary tuberculosis（TB） patients from internet-based reporting of non tubercular institutions in Qinghai province,evaluate the medical systems used the network for discover suspected tuberculosis patient,and provide a basis for increasing the TB detection rate.Method Data of the reports from 2009 to 2010 in Qinghai province by non tubercular institutions were collected,statistical analysis the transfer treatment,and targeting status of TB patients reported by network system of non tubercular institutions.Results According to network system,there were 7 716 cases of pulmonary TB patients or suspected cases were reported by non tubercular institutions during 2009 to 2010,all of them should be transferred to the hospitals.But in fact,there were only 2 332 TB patients initiative to the hospitals after transfer treatment.The transfer treatment initiative targeting rate was 30.2%.4 396 visited to the hospitals after tracing by non-tubercular institutions,total targeting rate was 55.68%,it was significantly higher than that of transferring to the hospitals voluntarily.Conclusions Enhancing the policy propaganda of cure the TB for free would improve the targeting rate of transfer treatment for TB patients.Improve the management of TB hospital reporting and network reporting in time were better for checking and tracking work of TB tubercular institutions.