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目的:通过横断面调查及数据分析,评价贵州省结核病防治“三位一体”服务模式运行工作效果。方法:在2013年建立的48个新型结核病“三位一体”防治体系的县中,采用分层随机抽样方法选择贵阳市开阳县、六盘水市六枝特区、遵义市桐梓县、铜仁市江口县、黔西南州普安县、毕节市七星关区、安顺市镇宁县、黔东南州剑河县、黔南州福泉市以及2个省直管县威宁县和仁怀市为调查点,调查各地卫生行政部门、疾控中心、定点医疗机构各2~3名关键领导,调查各地疾控中心、定点医疗机构各3名医务人员,各地随机访谈10名肺结核患者(5例门诊患者、5例住院患者)。结果:结核病新型服务体系中疾控中心和结核病定点医院结核病防治专业人员配备不足,桐梓县、威宁县、仁怀市肺结核患者丢失较为严重,肺结核患者医疗保障政策落实不到位致使患者医疗负担较重。结论:结核病防治“三位一体”服务模式需进一步规范运行。
OBJECTIVE: To evaluate the effectiveness of the “Trinity” service mode operation in Guizhou province through cross-sectional survey and data analysis. Methods: In the counties of 48 new TB / Trinity prevention and control systems established in 2013, stratified random sampling method was used to select Kaiyang County of Guiyang, Liuzhi Special Zone of Liupanshui City, Tongzi County of Zunyi City, Jiangkou County of Tongren City , Pu’an County in Qianxinan Prefecture, Qixingguan District in Bijie City, Zhenning County in Anshun City, Jianhe County in Qiandongnan Prefecture, Fuquan City in Qiannan Prefecture and Weining County and Renhuai City in 2 provinces. Departments, CDC and designated medical institutions. Each of the 3 CDCs and 3 designated medical institutions were investigated. 10 TB patients (5 outpatients and 5 inpatients) were randomly interviewed throughout the country. . Results: The new service system CDC tuberculosis and tuberculosis hospitals in TB control professionals understaffed, Tongzi County, Weining County, tuberculosis patients Renhuai lost more serious, tuberculosis patient health care policy may not be implemented resulting in patients with severe medical burden . Conclusion: TB prevention and treatment “Trinity ” service mode needs to be further standardized operation.