福建省61所市县医院肺结核归口管理督导结果分析

目的　检查督导综合医院肺结核归口管理现状与存在问题,以利于改进工作,提高病人发现水平。方法 检查61所综合医院有关肺结核归口管理的科室资料,同时检查57所结防机构有关资料,分析其报告、转诊以及痰检、胸片诊断等情况。结果 综合医院报告率84.1%,转诊率29.2%,转诊到位率70.3%;胸片诊断存在过诊、误诊;初诊病人查痰率仅为41.8%,涂片阳性率14.7%,均显著低于结防机构。结论 通过行政干预与专业督导相结合的措施,促进结核病归口管理的落实。

Analysis on situation of convergence case management of suspicious TB cases on 61 general hospitals in Fujian

Objective To investigate the situation of convergence case management of TB in general hospital,and indentify the existing problems so as to improve the future work and improve the level of tuberculosis finding.Methods Sampling 61 general hospitals and 57 anti tuberculosis institutes to examine the data concerned on convergence case management,to analyse the Results of report,transfer,sputum examination and X ray diagnosis.Results The rates of reporting,transferring and transferring of patients successfully in general hospital were 84.1%,29.2% and 70.3%.The sputum examination rate of initial patients was only 41.8%.The rate of sputum smear positive was 14.7%.These figures in general hospitals were much lower comparing to those in the anti tuberculosis institutes.Conclusion It is important to enhance the administrative intervention to promote tuberculosis convergence case management in general hospitals.