西安市结核病网络直报病人来源分析

目的探索提高肺结核病人发现水平的可能途径。方法收集西安市结核病疫情报告结防机构登记管理两套系统数据资料进行分析。结果大疫情肺结核报告发病率高于结防机构新登记率,而涂阳比例却低于结防机构,差异有统计学意义(P<0.05);结防机构登记管理的病人中37.28%来自非结防机构的转诊和推荐,综合性医院转诊到位率53.54%。结论利用传染病网络报告系统(大疫情报告系统)信息资源,加速克服结核病归口管理障碍的行动,可进一步提高病人发现和治愈水平。

Source of the Reported Pulmonary Tuberculosis Patients Internet-Based Communicable Diseases Reporting System

Objective]To improve the ability of identifying pulmonary tuberculosis patients. Methods]TB data from the infectious diseases reporting system was collected and analyzed. Results]The reported incidence rate from the infectious diseases reporting system was higher than that from the TB dispensaries; while the rate of new smear positive was lower than that in the TB dispensaries; the difference was statistically significant (P<0.05); 37.3% of the patients registered and managed in TB dispensaries came from non-TB dispensaries; the proportion of referred cases and suspect cases from hospitals was 53.5%. Conclusion] The process of overcoming the constraints of referring TB cases from hospitals to TB dispensaries could be accelerated by utilizing the information of internet-based communicable diseases reporting system; it can improve the level of case detection and treatment.