卫生软科学
衛生軟科學
위생연과학
SOFT SCIENCE OF HEALTH
2014年
1期
48-50
,共3页
肺结核%转诊到位率%追踪到位率
肺結覈%轉診到位率%追蹤到位率
폐결핵%전진도위솔%추종도위솔
pulmonary tuberculosis%referral%tracing
[目的]比较肺结核转诊追踪措施在云南省不同地区的实施效果差异，为进一步完善结核病防治服务体系提供依据。[方法]利用疾病监测信息报告管理系统和肺结核专报系统，回顾性收集昆明市、玉溪市和昭通市2006-2011年肺结核患者转诊追踪信息和肺结核患者发现资料，计算并比较三市肺结核患者转诊到位率、追踪到位率、总体到位率和确诊患者来源构成比。[结果]2011年云南省患者总体到位率大幅上升至87.45%，其中追踪到位率上升最为明显。玉溪市、昭通市、昆明市转诊到位率分别为56.53%，28.86%和24.54%，追踪到位率分别为48.85%，36.63%和34.41%，差异有统计学意义（P＜0.001）。玉溪市58.92%患者来自转诊措施，昭通市57.81%患者来自主动就诊，而昆明市32.99%患者来自追踪措施。[结论]转诊追踪措施在经济发展和医疗资源配置不同的地区，实施效果不尽相同，应鼓励各地应用不同模式为肺结核患者提供诊治服务。
[目的]比較肺結覈轉診追蹤措施在雲南省不同地區的實施效果差異，為進一步完善結覈病防治服務體繫提供依據。[方法]利用疾病鑑測信息報告管理繫統和肺結覈專報繫統，迴顧性收集昆明市、玉溪市和昭通市2006-2011年肺結覈患者轉診追蹤信息和肺結覈患者髮現資料，計算併比較三市肺結覈患者轉診到位率、追蹤到位率、總體到位率和確診患者來源構成比。[結果]2011年雲南省患者總體到位率大幅上升至87.45%，其中追蹤到位率上升最為明顯。玉溪市、昭通市、昆明市轉診到位率分彆為56.53%，28.86%和24.54%，追蹤到位率分彆為48.85%，36.63%和34.41%，差異有統計學意義（P＜0.001）。玉溪市58.92%患者來自轉診措施，昭通市57.81%患者來自主動就診，而昆明市32.99%患者來自追蹤措施。[結論]轉診追蹤措施在經濟髮展和醫療資源配置不同的地區，實施效果不儘相同，應鼓勵各地應用不同模式為肺結覈患者提供診治服務。
[목적]비교폐결핵전진추종조시재운남성불동지구적실시효과차이，위진일보완선결핵병방치복무체계제공의거。[방법]이용질병감측신식보고관리계통화폐결핵전보계통，회고성수집곤명시、옥계시화소통시2006-2011년폐결핵환자전진추종신식화폐결핵환자발현자료，계산병비교삼시폐결핵환자전진도위솔、추종도위솔、총체도위솔화학진환자래원구성비。[결과]2011년운남성환자총체도위솔대폭상승지87.45%，기중추종도위솔상승최위명현。옥계시、소통시、곤명시전진도위솔분별위56.53%，28.86%화24.54%，추종도위솔분별위48.85%，36.63%화34.41%，차이유통계학의의（P＜0.001）。옥계시58.92%환자래자전진조시，소통시57.81%환자래자주동취진，이곤명시32.99%환자래자추종조시。[결론]전진추종조시재경제발전화의료자원배치불동적지구，실시효과불진상동，응고려각지응용불동모식위폐결핵환자제공진치복무。
Objective To provide the basis for further completion of Tuberculosis (TB) prevent and control system, through comparing effect difference under carrying out TB referral and tracing measures in different regions of Yunnan province. Methods Retrospectively collecting data of TB cases detection,referral and tracking in cities of Kunming,Yuxi and Zhaotong from 2006 to 2011, through disease monitoring information system and TB special report system. Calculates and compares the proportion of referral, tracking, overall arrival rates and the patients source among three cities. Results The overall arrival rate of TB referral and tracking in Yunnan was soared to 87.45%,with the most obvious rise appeared on tracking rate. The arrival rate of referral was 56.53%,28.86%and 24.54%respectively in Yuxi,Zhaotong,Kunming,and arrival rate of tracking was 48.85%,36.63%and 34.41%respectively,with statistic significance(P<0.001). 58.92%TB cases came from referral measure in Yuxi,and 57.81%TB cases came from visiting doctors initiatively in Zhaotong,while 32.99%TB cases in Kunming came from tracking measure. Conclusions There were different effect of implementation for referral and tracking measurement among different economic development and medical resource allocation areas,then different service modes for TB cases detection and treatment should be encouraged.
