论文部分内容阅读
目的分析评价绵竹市结核病防治与新农合结合实施效果,为探索在新形势下建立结核病防治管理模式提供科学依据。方法对实施前的2007年和实施后的2012年绵竹市结核病患者发现、转诊、治疗、管理等情况进行对比分析和效果评价。结果结核病防治与新农合结合后,实施肺结核患者门诊医疗费用定额补偿模式,初诊患者就诊率上升3.7%(P>0.05),结核病患者转诊到位率、追踪到位率和总体到位率分别上升38.02、17.08、10.48个百分点(P<0.01),2个月末、5个月末和6(8)个月末规范查痰率分别上升6.41、5.90和5.90个百分点(P<0.01),规则治疗率上升9.74个百分点(P<0.01)。结论绵竹市结核病防治与新农合结合,对结核病患者的早期发现,规范治疗和管理起到了积极的促进作用。
Objective To analyze and evaluate the implementation effect of tuberculosis control and new rural cooperative medical system in Mianzhu City and provide scientific basis for establishing the management mode of tuberculosis prevention and control in the new situation. Methods Before 2007 and after the implementation of 2012 Mianzhu City tuberculosis patients found, referral, treatment, management, etc. Comparative analysis and evaluation of the results. Results After the combination of tuberculosis prevention and treatment and new rural cooperative medical care, the outpatient medical expenses quota compensation mode was implemented. The first visit rate increased by 3.7% (P> 0.05). The referral rate, follow-up rate and overall arrival rate of TB patients increased by 38.02% , 17.08,10.48 percentage points respectively (P <0.01). The standard sputum rate at the end of the two months, the end of the five months and the end of the 6 (8) months increased by 6.41, 5.90 and 5.90 percentage points respectively Percentage points (P <0.01). Conclusion The combination of prevention and treatment of tuberculosis and new rural cooperative medical system in Mianzhu City played an active role in promoting the early detection, standardization and management of tuberculosis patients.