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目的对实施结核病防治“五率”管理结果进行评价。方法按照结核病防治工作“五率”相关技术方案的要求,通过现场调查和结核病信息管理系统获取“五率”相关数据并进行分析。结果 2011、2012年以县为单位医疗卫生机构肺结核病人报告率、病人转诊率、病人系统管理率都达到95%以上,结核病防治机构追踪到位率和病人家属筛查率都达到90%以上,达到卫生部要求的到2015年以县为单位前“三率”超过95%,后“两率”超过85%的要求。结论实施结核病防治“五率”管理,能有效促进肺结核病人的发现和治疗管理工作。建议提高涂阳病人密切接触者检查质量,改善对病人督导服药的模式。
Objective To evaluate the results of management of tuberculosis prevention and control and “five rates”. Methods According to the requirements of TB program “Five-rate”, the relevant data of “Five-rate” were obtained and analyzed through field investigation and TB information management system. Results The reporting rate of TB patients, the referral rate of patients and the system management rate of patients in the medical and health institutions in 2011 and 2012 reached more than 95% respectively. Both the TB compliance rate and the family screening rate of TB patients reached more than 90% To meet the requirements of the Ministry of Health by 2015 before the counties “three rates ” more than 95%, after the “two rates ” more than 85% of the requirements. Conclusion The implementation of tuberculosis prevention and control “five-rate” management can effectively promote tuberculosis patients’ discovery and treatment management. It is suggested to improve the quality of smear-positive patients in close contact with patients and improve the mode of supervising and administering medication to patients.