山东省实施结核病归口管理检查情况评价

目的　评价卫生行政部门、结核病防治专业机构和综合医院对肺结核病归口管理工作的执行和落实情况。方法 检查1997年以来，全省卫生行政部门、结防专业机构和综合医院实施归口管理的情况。结果 行政部门能够运用法规和规范文件，对归口管理工作进行干预。1998年结防专业机构新登记涂阳肺结核病人中，其来源由综合医院转诊者占42.2%，其中新发涂阳占47.4%，复治涂阳占28.6%。结防专业机构检查综合医院的转诊率为60.4%，乡镇医院转诊率为79.6%。结论 实施结核病归口管理，行政干预措施；综合医院及时转诊发现的结核病人；结防机构积极落实，对提高结核病人的发现有着重要的意义。

Evaluation of implementation of tuberculosis convergence case-management in Shandong province

Objective For evaluation of implementation of transferring case-management system in health administrative departments,tuberculosis control facilties and general hospitals.Methods To check all provincial health administrative departments,tuberculosis control units and general hospitals for implementing the transferring case-management since 1997.Results Health administrative departments applied law regulations and regular documents to intervene in the transferring case-management system.In 1998,among new registration smear-positive pulmonary tuberculosis cases from tuberculosis control units,42.2% was from general hospitals transferring diagnosis.New smear positive transferring diagnosis rate was 47.4%,and retreatment smear positive rate was 28.6%.Transferring diagnosis rate of general hospital and town hospital were 60.4% and 79.6%,respectively.Conclusion The implementing transferring case-management system,adopting administrative intervention measures,transferring diagnosis timely as well as reporting detected tuberculosis cases in general hospitals,registering timely from reported tuberculosis cases in tuberculosis control units are very important factors to raise detection rate for tuberculosis cases.