非结防机构网络直报肺结核病人核查追踪情况

发布时间：2018-04-24 02:28

本文选题：结核病 + 网络直报　；参考：《浙江大学》2006年硕士论文

【摘要】：2000年全国第四次流调结核病流行病学调查报告提示,全国有近2/3的活动性病人和3/5的涂阳肺结核病人未被发现,所以如何加强病人发现率,将尽可能多的病人挖掘出来,进行规范化治疗,是我们迫切需要解决的问题。而从2004年开始启动的全国传染病网络直报系统,作为传染病报告的一大高速公路,可以动员所有医疗单位将尽可能多的结核病人进行网络报告;同时结核病作为专病管理,由于其疗程比较长、病人易失访、易传播等特点,所以国家对结核病实行归口管理,所有发现的疑似肺结核病人必须统一转诊至当地卫生行政部门统一指定的定点归口管理单位进行治疗。但是由于影响非结防医疗机构转诊的因素比较多,如利益驱动、结防机构与非结防医疗机构衔接不够、病人依从性差等因素,造成网络直报病人在实际工作中不能到位。所以如何充分利用网络直报报告系统的优势,加强网络直报肺结核病人到结防机构的到位率,来加强肺结核病人的发现率,是我们急需解决的问题,本次调查将通过对试点的调查,评价影响网络直报肺结核病人的到位率的各种影响因素对到位率的影响程度,以便改进干预措施,进一步提高肺结核病人的发现率。材料与方法选取的试点县总共为四个:湖州市的城郊区、安吉县;嘉兴市的桐乡市、海宁市。试点县地处杭嘉湖平原地区,地区总人口283.35万;经济相对比较发达,生活水平比较高,当地乡镇之间交通比较便捷,外来务工人员比较多。近几年结核病防治工作开展良好。结防机构设置比较完善,乡村防保体系比较健全。对试点县非结防机构网络直报肺结核病人核查追踪情况进行横断面调查,调查的内容包括:年龄、性别、职业等一般情况;到位方式,追踪情况:追踪方式、
[Abstract]:The report of the fourth national epidemiological survey on fluid-tuned tuberculosis in 2000 showed that nearly two-thirds of active patients and 3 / 5 of smear-positive tuberculosis patients in the country were not found. So how to strengthen the patient detection rate and excavate as many patients as possible? Standardized treatment is an urgent problem that we need to solve. The National Infectious Diseases Network Direct reporting system, which was launched in 2004, as a major highway for infectious disease reporting, can mobilize all medical units to report as many TB patients as possible on the network; meanwhile, tuberculosis is managed as a special disease. Because the course of treatment is relatively long, patients are easy to visit and spread, so the state implements centralized management of tuberculosis. All suspected pulmonary tuberculosis patients must be referred to the local health administration for treatment. However, there are many factors that affect the referral of non-knockout medical institutions, such as interest drive, insufficient connection between preventive organizations and non-knockout medical institutions, poor compliance of patients, and so on, which result in the failure of direct network reporting of patients in actual work. Therefore, how to make full use of the advantages of the network direct reporting system, and how to strengthen the arrival rate of direct network reporting of tuberculosis patients to knockout organizations to strengthen the detection rate of tuberculosis patients is a problem we urgently need to solve. The investigation will evaluate the influence of various factors affecting the arrival rate of TB patients through the pilot investigation in order to improve the intervention measures and further improve the detection rate of pulmonary tuberculosis patients. Materials and methods A total of four selected pilot counties: Huzhou suburbs, Anji County; Jiaxing Tongxiang City, Haining City. The pilot county is located in the plain area of Hangzhou and Jiahu, with a total population of 2.8335 million. The economy is relatively developed, the standard of living is relatively high, the transportation between local villages and towns is relatively convenient, and there are more migrant workers. TB prevention and control work has been well carried out in recent years. Knot prevention mechanism is relatively perfect, rural prevention and insurance system is relatively sound. Cross-sectional investigation was carried out on the verification and tracking of tuberculosis patients directly reported by the network of non-knot prevention institutions in the pilot counties. The contents of the investigation included: age, sex, occupation, etc.; the way in place, the way of tracking: the way of tracing, the way of tracing, the way of tracing, and so on.
【学位授予单位】：浙江大学
【学位级别】：硕士
【学位授予年份】：2006
【分类号】：R181.3

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