CAJ | 학술논문

目的：分析广西18个县（市）的结核病诊疗模式转型情况，探讨完善广西结核病防治服务体系建设的对策。方法采用自行设计的调查问卷，对各县（市）的结核病诊疗模式转型情况进行回顾性调查。结果18个县（市）中，转型原因为“原机构资质不全”的有8个（44．4％）；转型前由当地卫生局下发正式文件布置工作的有16个（88．9％）；转型后疾病预防控制中心结防专职人员减少的有14个（77．8％）；定点医院结核病门诊独立设置的有8个（44．4％）；对转型后结防工作评价为“非常好”和“较好”的有4个（22．2％）。结论卫生行政部门应积极推进医疗资质不全县（市）疾病预防控制中心结核病诊疗模式转型，并协调相关工作顺利开展。
목적：분석엄서18개현（시）적결핵병진료모식전형정황，탐토완선엄서결핵병방치복무체계건설적대책。방법채용자행설계적조사문권，대각현（시）적결핵병진료모식전형정황진행회고성조사。결과18개현（시）중，전형원인위“원궤구자질불전”적유8개（44．4％）；전형전유당지위생국하발정식문건포치공작적유16개（88．9％）；전형후질병예방공제중심결방전직인원감소적유14개（77．8％）；정점의원결핵병문진독립설치적유8개（44．4％）；대전형후결방공작평개위“비상호”화“교호”적유4개（22．2％）。결론위생행정부문응적겁추진의료자질불전현（시）질병예방공제중심결핵병진료모식전형，병협조상관공작순리개전。
Objective To analyze the transformation situation of the tuberculosis (TB) diagnosis and treatment mode in 18 coun-ties(cities) of Guangxi and to explore the countermeasure for perfecting the TB control service system in Guangxi .Methods The self-designed questionnaire was adopted to retrospectively investigate the transformation situation of the TB diagnosis and treatment mode in 18 counties(cities) .Results In the 18 counties(cities) ,there were 8 counties(cities) ,accounted for 44 .4% ,with the trans-formation reason of "the qualification was not completed in the original agency";there were 16 counties (cities ) ,accounted for 88 .9% ,with issuing the formal documents and arranging relevant work by the local health bureau before the transformation ;the number of full-time TB staff was reduced in 14 counties(cities) ,accounted for 77 .8% ,after the transformation ;there were 8 coun-ties(cities) ,accounted for 44 .4% ,set up the independent TB outpatient in the designated hospital ;there were 4 counties(cities) ,ac-counted for 22 .2% ,received the evaluation of "very good"and"good"for the TB control work after the transformation .Conclusion The health administrative department should actively promote the counties (cities) without the completed medical qualification to transform the TB diagnosis and treatment mode and coordinate the related works to carry out smoothly .