武汉市社区结核病防治服务提供情况调查分析

The investigation and analysis of tuberculosis control services provided in the community in Wuhan City

目的调查社区卫生服务中心结核病防治服务提供情况,为更好的开展结核病防治工作提供决策和依据。方法采用普查的方法,对武汉市7个城区共102家社区卫生服务中心结核病防治服务的提供情况进行问卷调查,使用Epi Data 3.0进行数据录入,利用SPSS 16.0对数据进行统计分析。结果社区卫生服务中心的举办主体以企事业为主,占62.7%;结核病登记、转诊和追踪服务制度的实施率分别为93.1%、93.1%、100%;设置查痰点的社区占15.7%;结核病治愈率平均为81.2%。结论社区卫生服务中心已初步具备结核病防治服务能力,但相关设备的配备仍需完善,结核病防治服务质量需进一步提高,以促进结核病服务提供均等化,进而确保结核病治愈率稳步提升。

Objective To investigate the current situation of tuberculosis （TB） control service delivery of commu- nity health centers and to provide reference for decision making of TB control. Methods All the 102 community health centers of 7 districts in Wuhan City were investigated with a questionnaire of TB control service delivery. Epi Data 3.0 was used for data input and SPSS 16.0 was applied for statistical analysis. Results The investigated community health centers were mainly held by the enterprises and institutions （62.7%）. The implementation rate was 93.1%, 93.1%, 100% on TB registration, referral and tracking. The proportion of centers with sputum room was 15.7%, and the cure average rate of TB was 81.2%. Conclusions The community health centers initially have the service capabilities of TB control work, but the device configuration should be completed. At the same time, the quality of TB control services still need to be improved, in order to promote its equalization, and steadily increase the cure rate of TB .