固镇县流动人口结核病防治项目实施效果分析

Analysis of implementation of tuberculosis control project in the immigrant population of Guzhen County,China

目的探索流动人口结核病防治方法和策略,促进固镇县结核病防治规划目标实现。方法通过结防机构、健康体检机构、医疗机构的密切协作,实施流动人口可疑结核病患者转诊、追踪,提高患者发现水平;延长门诊服务时间,提高医疗服务可及性;实施流动人口结核病患者就诊、治疗激励机制和心理支持,提高流动人口结核病患者治疗依从性,提高治愈率。结果流动人口可疑结核病患者转诊到位率、追踪到位率水平明显提高,分别达到33.3%、100.0%,总体到位率92.3%,与同期户籍人口结核病患者及疑似患者转诊追踪总体到位率93.4%接近;流动人口结核病患者发现与同期相比提高260.0%,治愈率达到90.3%。结论固镇县流动人口结核病防治项目实施取得较好效果,防治策略值得在其他市县借鉴推广;由于流动人口结核病防治难度大,在考核、评价不同地区结核病防治工作效果时,宜将流动人口与户籍人口分开考核评价。

Objective To explore the measures for preventive strategy of tuberculosis （TB） control program in Guzhen County. Methods Through the intimate collaboration among the institutions and organizations of TB control, health examination, and hospital, the suspected TB patients were transferred and followed up to improve the diagnosis; pro- long the time of out-patients service to provide the victims with medical accessibility; and create conditions and incentive mechanisms to give patients convenience so as that they can timely visit their doctors and get psychological supports, and fi- nally, to increase the patients obedience and cure rate of tuberculosis. Results A remarkable increase of hospital transfer- ring and following-up of the patients were obtained, reaching 33.3% and 100% , respectively, and the implementing rate was 92. 3%. The definitive diagnosis rate of tuberculosis was increased by 260. 0% when compared with that of the corre- sponding period, and the cure rate reached as high as 90. 3%. Conclusions A satisfactory effect of TB control strategy has been obtained in the immigrant population in Guzhen County and the policy and measures of TB control are worthy of promotion. The alteration and difficulty of the control implementation in the immigrants should be taken into consideration for effectiveness evaluation of TB control activity.