新型肺结核病防治模式实施前后对比分析

Comparative analysis of the implementation effect of new pulmonary tuberculosis prevention and treatment model

目的分析评价新型肺结核病防治模式实施效果,为做好“十四五”结核病防治工作提供有益参考。方法参照《“十三五”全国结核病防治规划》,依据课题组前期建立的指标体系,采用TOPSIS法综合评价新疆维吾尔自治区14个地(州、市)的结核病防治工作质量。结果2020年各地多项指标值较2016年有不同程度的增长。TOPSIS法综合评价显示,2020年排序前3位的是喀什地区、阿克苏地区、克孜勒苏柯尔克孜自治州,末3位是吐鲁番市、昌吉回族自治州、哈密市,南疆4地(州、市)的阿克苏地区、和田地区、克孜勒苏柯尔克孜自治州的排序分别从2016年的第9、10、14位上升至2020年的第2、4、3位。结论实施新型肺结核病防治模式后,患者发现的方式、数量和患者治疗管理情况均有大幅改观,各项工作指标尤其是《“十三五”全国结核病防治规划》11项工作指标得到了明显改善。新形势下,仍需不断完善和充实新疆维吾尔自治区“3个最大”防治模式。

Objective To analyze and evaluate the implementation effect of new pulmonary tuberculosis prevention and control model,and to provide reference for tuberculosis prevention and control of the“14th Five-Year Plan”.Methods According to“National Thirteenth Five-Year Plan for Tuberculosis Prevention and Control”,the TOPSIS method was used to comprehensively evaluate the quality of tuberculosis prevention and control in 14 regions(prefectures and cities)in Xinjiang Uygur Autonomous Region based on the indicator system established by the research team in the early stage.Results In 2020,the index values of various regions increased in different degrees compared with 2016.The comprehensive evaluation of the TOPSIS method showed that the top 3 in 2020 were Kashgar,Aksu Prefecture,Kizilsu Kirghiz Autonomous Prefecture;and the last 3 were Turpan,Changji Hui Autonomous Prefecture,Hami.The ranking of Aksu Prefecture,Hotan Prefecture and Kizilsu Kirghiz Autonomous Prefecture in the four regions(prefectures,cities)of southern Xinjiang rose from 9,10 and 14 in 2016 to 2,4 and 3 in 2020 Conclusion After the implementation of new pulmonary tuberculosis prevention and control,the way of patient discovery,the number of patients,and the treatment and management of patients have been greatly improved,and the work indicators,especially the 11 work indicators of“National Thirteenth Five-Year Plan for Tuberculosis Prevention and Control”,have been significantly improved.Under the new situation,it is still necessary to continuously improve and enrich the“three biggest”prevention and control model in Xinjiang Uygur Autonomous Region.