绵竹市结核病防治与新型农村合作医疗结合效果分析

Implementation Effect of Tuberculosis Prevention and Treatment Combined With New Rural Co-operative Medical Service

目的分析评价绵竹市结核病防治与新农合结合实施效果,为探索在新形势下建立结核病防治管理模式提供科学依据。方法对实施前的2007年和实施后的2012年绵竹市结核病患者发现、转诊、治疗、管理等情况进行对比分析和效果评价。结果结核病防治与新农合结合后,实施肺结核患者门诊医疗费用定额补偿模式,初诊患者就诊率上升3.7%(P>0.05),结核病患者转诊到位率、追踪到位率和总体到位率分别上升38.02、17.08、10.48个百分点(P<0.01),2个月末、5个月末和6(8)个月末规范查痰率分别上升6.41、5.90和5.90个百分点(P<0.01),规则治疗率上升9.74个百分点(P<0.01)。结论绵竹市结核病防治与新农合结合,对结核病患者的早期发现,规范治疗和管理起到了积极的促进作用。

Objective To analyze and evaluate the implementation effect of TPT combined with NRCMS in Mianzhu city,and thus to provide scientific evidence for establishing new TPT management pattern under new situation. Methods Comparative analysis were conducted on data of patients＇ discovery,referral,treatment and management in 2007 when the policy had not been implemented,and in 2012 after the implementation,accordingly. Results After the implementation of TPT combined with NRCMS,the fixed compensation pattern was adapted towards tuberculosis patient＇s out- patient medical fee. As a result,the outpatient rate of first-visit increased by 3. 7%（ P 〉0. 05）; the tuberculosis patient＇ s referral arrival rate,track arrival rate and general arrival rates respectively increased by 38. 02%,17. 08% and 10. 48%（all P〈0. 01）. The examination rates of standard sputum at the second month,the 5th month and 6th（8th） month respectively increased by 6. 41%,5. 90% and 5. 90%（ P〈0. 01）,and the standard treatment rate increased by 9. 74%（ P〈0. 01）. Conclusion The implementation of TPT combined with NRCMs in Mianzhu city plays a positive effect in aspects of the tuberculosis patient＇s early discovery,standard treatment and management.