新密市不同阶段非结防机构对新登记结核病患者贡献率调查

The contribution rate of non-TB institution in new patients' registration at different stages in Xinmi in 1986-2014

目的分析新密市不同阶段新登记患者中非结防机构贡献率，为制定结核病发现医防合作策略提供科学依据。方法按照1986—2014年新密市结核病防治策略不同，划分成4个时期，比较4个时期结核病新登记患者中非结防机构贡献率。结果实施地方性防痨法规时期新登记患者中非结防机构贡献率为49．0％；卫生部项目时期新登记患者中非结防机构贡献率为56．1％，和地方性防痨法规时期对比差异有统计学意义（χ^2=6．096，P〈0．05）；世行项目时期新登记患者中非结防机构贡献率为65．9％，和卫生部项目时期对比差异有统计学意义（χ^2=13．716，P〈0．05）；非项目时期新登记患者中非结防机构贡献率为67．2％，和卫X项目时期对比差异没有统计学意义（χ^2=0．271，P〉0．05）。结论结防机构和非结防机构之间广泛进行的医防合作，是落实结核病归口管理制度，调动各方面积极因素，提高患者发现率，向“终止结核”目标迈进的必由之路。

Objective To analyze the contribution rate of non-TB institution in new patients＇ registration at different stages in Xinmi city and provides scientific basis for developing collaborative TB strategies.Methods According to the different TB case-management policies from 1986-2014 in Xinmi, divided four period, then analyze the contribution rate of non-TB institution in new patients＇ registration.Results In the local TB regulations implementation period, The non-TB institution contributed 49% in new patients＇ registration, in Ministry of health project period ,The non-TB institution contribution rate of newly-registered tuberculosis patients was 56.1%, and there was a statistically significant difference between these two periods （χ^22=6.096, P〈0.05）.In health X periods, the contribution rate was 65.9 %, and there was a significant difference in comparison with the Ministry of health project period （χ^2=13.716, P〈0.05）.In Heahh-X project management methods continuation period, the contribution rate was 67.2% （2 176/3 240）, and there is no statistically significant in comparison with the Health-X project（χ^2=0.271,P〉0.05）.Conclusions The non-tubercnlosis institutions and TB institutions widespread cooperation practice is the only way to implement tuberculosis referral case-management system, mobilize all the positive factors and improve the detection rate and eventually to achieve the goal of TB termination.