定点医院模式实施前后结核病控制效果分析

发布时间：2018-05-15 09:12

本文选题：结核病 + 定点医院　；参考：《中国公共卫生》2017年01期

【摘要】：目的分析实行结核病定点医院服务模式前后结核病发现和治疗效果变化情况,为保障新模式的可持续发展提供参考建议。方法 2015年11月收集山东、陕西和湖南3个省6个样本地区实行定点医院模式前后5~7年的结核病患者登记数据,分析结核患者登记率、新发涂阳患者登记率、涂阳患者治愈率和涂阴患者治疗完成率的变化。结果对于结核患者登记率,湖南浏阳由职责调整前2年的59.05/10万上升到职责调整后第3年的80.51/10万,陕西阎良由职责调整前2年的54.58/10万,在职责调整后第3年升为72.4/10万;其他4个地区均呈下降趋势,下降最明显的是山东庆云,由职责调整前2年的64.00/10万降至职责调整后第5年的13.16/10万;所有样本地区的涂阳患者登记率均呈下降趋势;绝大多数样本县(市、区)的涂阳患者治愈率和涂阴患者治疗完成率在定点医院模式实施前后差异均无统计学意义。结论实行定点医院模式后,结核患者发现登记管理的工作质量少数地区提高,大部分地区下滑,治疗效果基本能够满足国家防治规划的需要,定点医院模式下的患者登记管理工作需要进一步加强。
[Abstract]:Objective to analyze the changes of tuberculosis discovery and treatment effect before and after the implementation of tuberculosis designated hospital service model, and to provide reference suggestions for ensuring the sustainable development of the new model. Methods in November 2015, the data of TB patients registration before and after the designated hospital model were collected in 6 sample areas of Shandong, Shaanxi and Hunan provinces, and the registration rate of TB patients and the registration rate of new smear positive patients were analyzed. The change of cure rate and cure rate of smear positive patients. Results the registration rate of tuberculosis patients in Liuyang, Hunan Province, rose from 59.05 / 100000 in the first two years before the adjustment of duty to 80.51- / 100000 in the third year after the adjustment of duty, and from 54.58 / 100000 in Shaanxi province to 724,410,000 in the third year after the adjustment of duty. The other four regions showed a downward trend, the most obvious of which was Qingyun, Shandong Province, which decreased from 64.00 / 100000 in two years before the adjustment of duty to 131.6 / 100000 in the fifth year after the adjustment of duty, and the registration rate of smear positive patients in all sample areas showed a downward trend. There was no significant difference between the cure rate of smear positive patients and the complete rate of treatment of smear positive patients before and after the implementation of the designated hospital model in most sample counties (cities and districts). Conclusion after the implementation of the designated hospital model, the quality of TB patients' registration management has been improved in a few areas, and most of the areas have declined. The therapeutic effect can basically meet the needs of the national prevention and treatment plan. The management of patient registration in designated hospitals needs to be further strengthened.
【作者单位】：山东大学医药卫生管理学院国家卫生与计划生育委员会卫生经济与政策研究重点实验室(山东大学);
【基金】：国家卫生与计划生育委员会国际交流与合作中心委托项目
【分类号】：R52;R183

【相似文献】