河南省结核病基本公共卫生服务项目基线调查

发布时间：2018-03-29 09:08

本文选题：结核病　切入点：基本公共卫生　出处：《现代预防医学》2017年06期

【摘要】：目的掌握河南省基层医疗卫生机构结核病防治工作开展情况,作为结核病基本公共卫生服务项目的基线数据,为今后评价结核病基本公共卫生服务项目提供依据。方法采用回顾性研究方法,全省17个省辖市随机各抽取1县1区,每个县区、济源市和10个直管县随机各抽取2个乡镇(办事处)2个村(居委会)的基层医疗卫生机构。现场填写调查表并核对原始材料,使用Excel/SPSS15.0软件进行分析。结果截至2015年底,本次抽样到的县区,综合评分均值为71.95分,省辖市和直管县之间差异无统计学意义。报告的结核病患者(包括耐多药患者)管理得分率为83.32%,肺结核可疑症状者发现得分率为57.57%,服药规范得分率为79.38%,其中乡镇肺结核可疑症状者筛查达标率为26.67%。基本公共卫生服务实施过程中面临弥补经费缺口及人力资源建设的挑战。结论截至2015年底,河南省结核病基本公共卫生服务项目各项工作处于起步阶段,部分三级指标已经实现。需继续开展培训,加强基层建设,探索保障措施。
[Abstract]:Objective to understand the status of TB prevention and control in primary medical and health institutions in Henan Province, and to provide baseline data for TB basic public health services. Methods A retrospective study method was used to randomly select 1 county and 1 district from 17 provinces and municipalities in the province, each county and district, in order to provide the basis for the evaluation of TB basic public health services in the future. The primary medical and health institutions of 2 villages (offices) and 2 villages (neighborhood committees) were randomly selected from two towns (offices) and 10 directly administered counties in Jiyuan City. The questionnaire was filled out on the spot and the raw materials were checked and analyzed by using Excel/SPSS15.0 software. The results were analyzed by the end of 2015. The average comprehensive score of the counties and districts sampled this time is 71.95. There was no significant difference between the municipalities and counties under the provincial government. The reported score rate of management for tuberculosis patients (including multi-drug resistant patients) was 83.32, the score rate for those with suspicious symptoms of tuberculosis was 57.57, and the score rate for standard drug use was 79.38, among which the scores in towns and villages were 79.38, and the scores of patients with suspected symptoms of tuberculosis were 57.57 and 79.38 respectively. The rate of TB suspected symptom screening is 26.670.The implementation of basic public health services faces the challenge of making up for the funding gap and the construction of human resources. Conclusion by the end of 2015, The work of the basic public health service project of tuberculosis in Henan Province is in its infancy, and some three-level indexes have been realized. It is necessary to continue to carry out training, strengthen the basic level construction, and explore the safeguard measures.
【作者单位】：河南省疾病预防控制中心结防所;
【基金】：河南省卫生厅卫生政策研究课题(YWZY201302)
【分类号】：R197.1;R52

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