期刊文献+

山西省新型结核病防治服务模式实施前后患者发现情况分析 被引量:1

Comparison Analysis of TB Case-finding before and after Implementing New TB Control Mod in Shanxi Province
下载PDF
导出
摘要 目的:分析14个全球基金项目县(以下简称"项目县")与53个非全球基金项目县(以下简称"非项目县")实施新型结核病防治服务模式前后患者发现情况,为进一步完善山西省新型结核病防治服务体系提供科学依据。方法:利用结核病管理信息系统及省级自行设计的《结核病防治模式转型前后患者发现情况调查表》,对67县转型前后初诊患者、活动性肺结核患者以及新涂阳肺结核患者登记情况等数据进行统计分析。结果:非项目县与项目县相比,初诊患者、活动性患者、新涂阳患者登记数下降幅度明显高于项目县。非项目县转型前1年和转型后1年登记的初诊患者数、活动性患者数、新涂阳患者数分别下降了26.4%、19.6%和49.5%,新涂阳患者登记数转型前后进行比较差异有统计学意义(P<0.05);而项目县转型前后初诊患者数上升8.4%,活动性患者数仅下降2.6%,新涂阳患者数上升1.5%,新涂阳患者登记数转型前后进行比较差异无统计学意义(P>0.05);转型前1年非项目县与项目县新涂阳患者登记数进行比较差异无统计学意义(P>0.05),转型后1年非项目县与项目县新涂阳患者登记数进行比较差异有统计学意义(P<0.05);新涂阳比例总体下降14.2%,但项目县转型后上升1.8%,非项目县下降16.7%。结论:非项目县与项目县相比,患者发现数下降明显,初诊患者登记数和患者发现数都受到一定影响,尤其是新涂阳患者数下降幅度高达49.5%。通过分析转型过程中存在的问题及影响因素,应加强部门间的协调配合,规范定点医院内部患者转诊、报告、登记和管理等工作流程,为落实好新型结核病防治服务体系,提高山西省结核病防治规划的实施质量提供保障。 Objective: To analyze TB case- finding before and after implementing new TB control pattern in 14 project counties and 53 non - project counties for the sake of providing the basis for enhancing new TB control system. Methods:The questionnaire on TB case -finding was designed before and after implementing new TB control mode " The data of reporting TB suspect, active pulmonary TB and new smear positive inl4 project counties and 53 non - pro- ject counties were statistically collected and compared. Results: Compared with the number of TB suspect registered, ac- tive pulmonary TB and new smear positive patient, the decline range was higher in 53 non - project counties than that in 14 project counties. In non -project counties, TB suspect registered, active pulmonary TB and new smear positive pa- tient declined up to 26.4%, 19.6% and 49.5% respective before and after transition mode. There was statistically sig- nificant difference in new smear positive patient(P 〈 0.05 ). In project counties, active pulmonary TB declined 2.6%. TB suspect registered and new smear positive patient ascended 8.4% and 1.5%. There was no significant difference in new smear positive patients ( P 〉 0.05 ) . Before transition mode, There was no significant difference between project and non - project counties in the number of new smear positive patents (P 〉 0.05 ). After one - year transition mode, there was significant difference between project and non -project counties in new smear positive patent appeared( P 〈 0.05 ). The proportion of new smear positive ascends 1.8% in project counties, and declined 16.7% in non - project counties. Conclusious:After transition mode , the difference of TB case - finding non -project counties. To find the impact factor on TB transition mode an declined have appeared between project and d standardized TB process management in TB designated hospital, work procedures such as TB diagnosis, patient report , registration and so on should be completed for TB control system , which will provide valuable experiences and insurance in implementing new TB control pattern in Shanxi province.
出处 《山西职工医学院学报》 CAS 2016年第6期43-46,共4页 Journal of Shanxi Medical College for Continuing Education
关键词 结核/预防和控制 转型 患者发现 tuberculosis/prevention and control transition mode case findings
  • 相关文献

参考文献2

二级参考文献35

共引文献45

同被引文献8

引证文献1

二级引证文献4

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部