延边地区肺结核病人归口转诊模式的探讨

目的　分析延边地区建立肺结核归口转诊模式对肺结核病人的转诊到位率的影响,探讨提高转诊到位率的方法。方法 对全州8个县(市)医院、中医医院、中心卫生院、大型厂矿企事业单位职工医院的执法检查考核资料进行评价。结果 1.建立归口转诊模式前期转诊率为48.3%,转诊到位率为29.0%,后期转诊率为89.0%,转诊到位率为72.4%,有明显提高;2.前期年平均涂阳病人新登记率为13.36/10万,后期为17.86/10万,实施归口转诊模式前期与实施后期的指标有显著性差异(P<0.01)。结论 延边地区实施的肺结核病人归口转诊模式,对提高肺结核病的转诊到位率十分有效,应不断完善并深入推广。

Discussion of the mode of centralized transfer diagnosis of the lung TB patients in Yanbian area

Objective To analyse the result of the lung TB patients' success rate of transfer diagnosis since the establishment and carrying out of Yanbian Area's Lung TB centralized transfer diagnosis mode, to discuss the effective methods of enhancing the transfer diagnosis' success rate. Methods During the last 8 years, we investigated and evaluated the city, county hospitals, TCM hospitals, central hospitals, large enterprise and institutional units hospitals in the eight cities and counties in Yanbian area.Result 1.After the establishment of the transfer diagnosis system, during the first stage, the transfer diagnosis rate was 48.3%, and the transfer diagnosis success rate was 29.0%. Later, the transfer diagnosis rate was 89.0%, and the transfer diagnosis success rate was 72.4%. 2, During the first stage, the annual average lung TB new patients registration rate was 13.36/10000 people. Later, it reached 17.86/10000. There was a large difference between the indexes for the first stage and later stage of the carrying out of the centralized transfer diagnosis ( P <0.01). Conclusion The Yanbian Area's lung TB patient centralized transfer diagnosis system effectively enhanced the success rate of the lung TB transfer diagnosis, the system is valuable to be popularized.