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目的通过深入分析柳州市结核病防治管理的问题,进一步理顺防治体系,探讨新的工作模式,为防治决策服务,提高该市结核病防治管理水平。方法对该市理顺结核病防治体制方案实施前后的效果变化进行定量分析。结果柳州市推行的结核病防治政策增强了预防控制的力量,直接面视下短程化疗(DOTS)管理率提高到90%以上,新涂阳病人治愈率由84.11%提高到91.00%,涂阴病人完成疗程率由76.07%提高到81.08%,失访率降低,总体到位率有所提高。结论医疗资源的合理配置能够增加结核病防治管理的公平性和可及性。但柳州市结核病防治政策有待于进一步完善,体制改革需要不断探索,结核病防治需要科学发展,加大财政投入力度,是做好结核病防治工作的有力保障。制定结核病医疗费用控制措施是提高结核病防治公益性,解决结核病患者“看病难,看病贵”的重要保证。
Objective To further analyze the problem of tuberculosis prevention and control in Liuzhou City, further rationalize the prevention and control system, explore new work modes, and improve the management level of tuberculosis prevention and control in this city for the purpose of preventing and treating decision-making. Methods Quantitative analysis was made on the effect of the rationalization of tuberculosis prevention and treatment programs in the city before and after the implementation of the program. Results The prevention and control policies of tuberculosis promoted by Liuzhou City increased the power of prevention and control. The management rate of short-term chemotherapy (DOTS) directly increased to more than 90%. The cure rate of new smear-positive patients increased from 84.11% to 91.00% The treatment rate increased from 76.07% to 81.08%, the rate of loss to follow-up dropped, and the overall arrival rate increased. Conclusion The rational allocation of medical resources can increase the fairness and accessibility of tuberculosis control. However, the policy of tuberculosis prevention and control in Liuzhou City needs to be further perfected. Institutional reform needs to be constantly explored. Tuberculosis prevention and control needs scientific development and increased financial input. This is a strong guarantee for prevention and control of tuberculosis. The formulation of tuberculosis medical cost control measures is to improve public health tuberculosis prevention and treatment of tuberculosis patients “difficult to see a doctor, expensive ” important guarantee.