CAJ | 학술논문

目的探索梅州市医防合作对肺结核病人转诊和追踪到位的影响.方法对梅州市2009年结核病控制实施医防合作,以实施前2008年为对照,分析比较实施前后肺结核病人的转诊率、转诊到位率、追踪率、追踪到位率和总体到位率的变化情况.结果实施后,卫生行政部门、结防机构和医疗机构提高了对结核病控制的认识,在行政上明显加强了管理,更加积极主动开展项目工作;实施期间肺结核病人转诊到位率35.34%,追踪到位率57.25%,总体到位率70.14%,均较实施前有显著提高(P<0.01).结论实施医防合作可以有效提高结核病转诊和追踪工作水平,并能促进医疗单位参与结核病的防治工作.
목적 탐색매주시의방합작대폐결핵병인전진화추종도위적영향.방법 대매주시2009년결핵병공제실시의방합작,이실시전2008년위대조,분석비교실시전후폐결핵병인적전진솔、전진도위솔、추종솔、추종도위솔화총체도위솔적변화정황.결과 실시후,위생행정부문、결방궤구화의료궤구제고료대결핵병공제적인식,재행정상명현가강료관리,경가적겁주동개전항목공작;실시기간폐결핵병인전진도위솔35.34%,추종도위솔57.25%,총체도위솔70.14%,균교실시전유현저제고(P<0.01).결론실시의방합작가이유효제고결핵병전진화추종공작수평,병능촉진의료단위삼여결핵병적방치공작.
Objective To explore the effect of medical care integrated with prevention on referral and follow-up in patients with tuberculosis (TB) in Meizhou city. Methods After medical care integrated with prevention for TB control in 2009 was performed, the rates of referral, follow-up, referral completion, follow-up completion, and overall completion were compared with those in 2008 in all TB patients. Results After the development of the project, the health administrative departments, health agencies, and TB control units increased the awareness of TB control, strengthened administrative management, and performed the project more actively and aggressively. During the progress of the project, the rates of referral completion, follow-up completion, and overall completion increased significantly (35.34%, 57.25%, and 70.14%; P<0. 01), as compared with those in 2008. Conclusions Medical care integrated with prevention can effectively improve the levels of referral and follow-up in patients with tuberculosis, and promote medical units to participate in the prevention and control of tuberculosis.