论文部分内容阅读
目的了解2013年6月新疆吉木乃县“三位一体”新型结核病防治服务体系启动以来的工作情况,为指导今后工作提供科学依据。方法回顾性分析吉木乃县“三位一体”新型结核病防治服务体系工作启动以来,定点医院患者诊断治疗过程中遇到的困难和问题,评价所采取的措施及获得的效果。结果 2013年6—11月吉木乃县人民医院发现结核病可疑患者88人,胸片检查83人,胸片检查率94.3%,发现活动性结核病患者33例;6月份“三位一体”工作正式启动后定点医院患者发现率下降,9月份后通过协调农牧区结核病患者纳入慢性病系统并免去门诊所有费用后,结核病患者发现率明显提高。结论充分调动和提高医务人员的工作积极性,努力解决医患双方的利益矛盾,开发制定相关政策,解决定点医院所需的疑似患者和密切接触者筛查经费,制定社保部门把结核病纳入特殊门诊报销范畴的医保政策,是保障“三位一体”工作正常运转和可持续发展的关键。
Objective To understand the work since June 2013 in the “Trinity” new tuberculosis prevention and treatment service system in Jimunai County, Xinjiang, and provide a scientific basis for future work. Methods A retrospective analysis of the difficulties and problems encountered in the diagnosis and treatment of patients in designated hospitals since the start of work on a new type of tuberculosis prevention and control service in Jimunai County was conducted to evaluate the measures taken and the results obtained. Results In June-November 2013, Jimu County People’s Hospital found 88 suspicious TB patients, 83 chest X-ray examination, 94.3% chest X-ray examination and 33 active TB cases. In June, “Trinity” was officially launched After the fixed-point hospital patients found that the rate of decline in September by coordinating farming and pastoral areas of tuberculosis patients into the chronic disease system and remove all out-patient costs, the detection rate of tuberculosis patients increased significantly. Conclusions Fully mobilize and improve the work enthusiasm of medical staff, and strive to solve the contradiction between the interests of both doctors and patients, develop and formulate relevant policies to address the fixed-point hospitals for suspected patients and close contacts of screening funding for the development of social security departments to TB reimbursement into special clinics The category of health insurance policies is the key to guarantee the normal operation and sustainable development of the “Trinity” work.