南宁市结核病归口管理实施6年结果分析

Analyse the effects of the implementation of referring system of pulmonary tuberculosis in Nanning for 6 years

目的 评价南宁市结核病归口管理实施 6年来的情况。方法 建立结核病归口管理制度 ,定期检查各医院门诊日志、出入院登记记录、转诊及截留病人情况 ,检查定点医院病人管理及转归情况。结果 实施归口管理 6年来病人管理率、转诊率、到位率逐年上升 ,至 1999年最高分别达到6 3.5 %、86 .2 %、6 3.1% ,此后又有下降。病人治愈率低 ,1999— 2 0 0 1年分别为 9.1%、2 9.1%、2 6 .5 %。结论 南宁市结核病归口管理工作虽取得一定成绩 ,但也存在较多问题 ,必须加强行政干预 ,加大执法监督力度 ,规范病人管理 ,归口单位必须集中。

Objective Evaluate the effects of the implementation of referring system of pulmonary tuberculosis in Nanning city for 6 year.Methods Establish the referring system of pulmonary tuberculosis.Regularly checking the diagnosis records and the records of hospitalization and exchange registration in hospitals.And the situation of case managment and outcome of cases in hospitals.Results Since the establishment of the referring system,the case management rate,referring rate and referring success rate increased year by year.The highest rates were in 1999.That were 63.5%,86.2% and 63.1% respectively and then began to fall down.The percentage of cure rates was low.In 1999-2001,The cure rate of smear-positive case were 9.1%?29.1% and 26.5% respectively.Conclusion Although achievement has been made in field on the referring system,many problem still remains.Administrative interventions,monitoring and standardized case management should be strengthened.Units of convergence must be centralized.