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目的分析新密市不同阶段新登记患者中非结防机构贡献率,为制定结核病发现医防合作策略提供科学依据。方法按照1986-2014年新密市结核病防治策略不同,划分成4个时期,比较4个时期结核病新登记患者中非结防机构贡献率。结果实施地方性防痨法规时期新登记患者中非结防机构贡献率为49.0%;卫生部项目时期新登记患者中非结防机构贡献率为56.1%,和地方性防痨法规时期对比差异有统计学意义(χ~2=6.096,P<0.05);世行项目时期新登记患者中非结防机构贡献率为65.9%,和卫生部项目时期对比差异有统计学意义(χ~2=13.716,P<0.05);非项目时期新登记患者中非结防机构贡献率为67.2%,和卫X项目时期对比差异没有统计学意义(χ~2=0.271,P>0.05)。结论结防机构和非结防机构之间广泛进行的医防合作,是落实结核病归口管理制度,调动各方面积极因素,提高患者发现率,向“终止结核”目标迈进的必由之路。
Objective To analyze the contribution rate of non-prevention agencies in newly registered patients in different stages of Xinmi and provide a scientific basis for formulating strategies of cooperation in preventing and treating diseases of tuberculosis. Methods According to the different control strategies of tuberculosis in Xinmi City from 1986 to 2014, the method was divided into four periods, and the contributions of non-prevention TB institutions among the newly registered tuberculosis patients during the four periods were compared. Results The contribution rate of non-prevention agencies in newly registered patients during the implementation of local anti-tuberculosis regulations was 49.0%. The contribution rate of non-prevention agencies among newly registered patients in the Ministry of Health was 56.1%, compared with that in local anti-tuberculosis laws and regulations Statistical significance (χ ~ 2 = 6.096, P <0.05). The contribution rate of non-prevention institutions in the newly registered patients during World Bank project was 65.9%, which was significantly different from that of the Ministry of Health during the project period (χ ~ 2 = 13.716 , P <0.05). The contribution rate of non-prevention institutions was 67.2% in the newly enrolled patients during the non-project period. There was no significant difference between the two groups (χ ~ 2 = 0.271, P> 0.05). Conclusion The extensive medical and drug cooperation between TB control and non-TB control agencies is the only way to implement the tuberculosis centralized management system, mobilize all kinds of positive factors, increase the detection rate of patients and move towards TB termination.