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目的分析不同医院网络报告本县肺结核病人/疑似病人转诊到位和追踪到位情况,针对存在问题提出相应的解决措施,提高非结防机构网报结核病人的转诊到位率和追踪到位率。方法统计分析非结防机构网络直报肺结核病人的到位、追踪及核实登记本等资料。结果非结防机构共报告本县肺结核病人/疑似病人1837例,主动到位1424例(77.5%);追踪413例(100%),追踪到位369例(89.3%)。转诊到位率和追踪到位率低的主要是市外医院报告病人,分别为3.3%和58.6%。追踪未到位的主要原因是外地报告和综合性医院报告的病人查无此人占56.8%。结论要提高转诊到位率和追踪到位率,关键是提高综合性医院尤其是外地综合性医院网络报告病人信息的准确性和完整性。
Objective To analyze the referral and follow-up status of TB / suspicious patients in this county from different hospitals and to provide corresponding solutions to the existing problems so as to improve the referral rate and follow-up rate of non-TB prevention and control agencies. Methods Statistical analysis of the network of non-TB prevention and control institutions directly reported tuberculosis patients in place, tracking and verification of registration and other information. Results A total of 1837 pulmonary TB patients / suspected patients were reported by non-TB prevention and control agencies. A total of 1424 cases (77.5%) were followed up; 413 cases (100%) were followed up and 369 cases (89.3%) were followed up. The referral rate and follow-up rate were mainly lower than those reported by hospitals outside the city, accounting for 3.3% and 58.6% respectively. The main reason for the missed follow-up was the absence of 56.8% of patients reported in field reports and general hospital reports. Conclusion The key to improve the referral rate and follow-up rate is to improve the accuracy and completeness of reporting patient information in the general hospital, especially in the field of general hospital network.