新密市结核病控制纳入初级卫生保健管理的实施与研究

Implementation and research of bringing tuberculosis control into line with the Primary Health Care in Xinmi city

目的 探索结核病控制纳入初级卫生保健指标中实施的可行性。方法 将 13项“初保”指标增加为 14项 ,分值增加 10分 ,并把结核病控制的各项指标进行量化以方便操作。结果 (1)涂阳新登记率较纳入前增长 57.4 % ;(2 )新登记涂阳病人来源转诊占 59% ;(3)涂阳病人治愈率较纳入前净增了 15.6 % ;(4)失联系率下降了 6 5% ;(5)结核病的死亡率年均递降 13.9% ,达到了国内较低水平。结论 结核病控制纳入“初保”是加速结核病控制进程、促进疫情下降的有效途径。

Objective Do feasibility study of bringing Tuberculosis Control into line with the Primary Health Care. Methods The indexes of ‘Primary Health Care’ were increased from 13 items to 14 items, 10 points increased, and to guantify the Tuberculosis Control indexes for convenient operation. Results (1)The new-smear registered rate increased 57.4% compared to the previous period; (2)The transferred case were 59% of the new-smear registered ones; (3)The rate of new-smear cases cured was increased 15.6% compared to the prior; (4)The rate of losing was reduced 65%; (5)The annual mortality reduction rate was 13.9%, it is low level in the country. Conclusion Tuberculosis Control into line with Primary Health Care is the effective way of promoting Tuberculosis control and reducing the epidemic situation.