医疗机构参与定点医院结核病防治模式试点实施情况的定性调查

目的了解定点医院结核病防治模式下医疗机构的参与实施情况,为制定我国定点医院工作指导意见提供参考依据。方法 2010年6月招募6个定点医院模式试点地区的卫生行政部门人员、结防机构和医疗机构的管理人员和业务人员进行个人深入访谈。结果定点医院主要负责结核病的诊断、治疗和疫情报告,非定点医院负责结核病的发现和向定点医院转诊。不同地区定点医院内的结防工作安排差异较大,医疗机构还面临着经济因素的影响和医防合作的衔接问题。结论虽然在定点医院结核病防治模式下医疗机构职责分工已经明确,并被证明能够较好地发挥医疗机构的优势,但在医疗机构参与结核病防治工作方面还需要进行更加深入的研究。

Qualitative Research on Implementation of Medical Institutions Involved in TB Control Model of Designated Hospitals

Objective To investigate the implementation of medical institutions involved in TB control model of designated hospitals,and to provide the reference frame for developing national guidance for designated hospitals.Methods In June 2010,managers and operational staff were recruited from the health administrative departments,TB dispensaries and medical institutions in six pilot areas of designated hospitals model to attend individual interview.Results Designated hospitals were responsible for TB diagnosis,treatment and disease reporting,and non-designated hospitals responsible for TB detection and referral to the designated hospitals.TB work arrangement within designated hospitals in different areas was quite different,and medical institutions also faced the influence of economic factors and convergent questions of PPM.Conclusions Although medical institutions have a clear division of responsibilities under TB control model of designated hospitals,which are proved to be better able to exploit the advantages of medical institutions,there is also need for more in-depth studies on medical institutions being involved in TB control work.