广西卫生行政部门和结核病防治机构对结核病防治“三位一体”新型服务模式的接受意愿调查分析

目的 了解广西卫生行政部门和结核病防治（简称“结防”）机构对推行结核病防治“三位一体”新型服务模式的接受意愿，为分析在广西推行该新型服务模式的可行性及进一步完善医疗卫生机构与结核病防治所合作（简称“医防合作”）管理规范提供参考依据。 方法 采用方便抽样法，分别对广西14个地级市及其所辖27个县的卫生行政部门和结防机构的1位关键人物（即卫生局分管局长、结防机构分管领导和结防科长）进行现场问卷调查。 结果 大部分卫生局分管局长、结防机构分管领导和结防科长赞成推行结核病防治“三位一体”新型服务模式，赞成率分别为73.7%（28/38）、75.0%（30/40）和66.7%（26/39）。赞成的主要理由是该模式能更好地发挥各部门优势，有效利用医疗资源，有利于患者的诊治；不赞成的主要理由是目前综合医疗机构的公共卫生服务资源不足。 结论 在广西推行结核病防治“三位一体”新型服务模式是可行的，但该模式需在完善现行相关规章制度的基础上因地制宜地逐步推行。

Analysis of acceptability survey on the trinity tuberculosis prevention new service model in health administration departments and tuberculosis prevention institutes of Guangxi

Objective To understand the acceptability on the trinity tuberculosis prevention new service model in the health administration departments and the tuberculosis prevention institutes of Guangxi,in order to analyze the feasibility and further improve the management practices of cooperation between medical agencies and TB institutions.Methods Convenience sampling method and questionnaire survey were used.One of the key people in the health administration department and the tuberculosis prevention institute of 14 cities and 27 counties was selected respectively for this survey.Results Most of the interviewees accepted the trinity tuberculosis prevention model,the acceptability proportion among the leaders of health administration departments,leaders in charge of TB control institutions,and directors of TB institutions were 73.7%(28/38),75.0%(30/40)and 66.7%(26/39)respectively.The main supporting reason is that this model could help each department better play its own advantages,and effectively use the medical resources,and facilitate patient’s diagnosis and treatment.The main reason not in favor of trinity is the insufficient public health resources in the general hospitals now.Conclusion The implementation of the trinity tuberculosis prevention model is feasible in Guangxi,however this model needs to expand in a stepwise way under the basis of improving the existing rules and regulations.