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目的:分析泰州市新型结核病防治服务体系建设现状,进一步提高新型结核病防治服务体系建设质量。方法:总结泰州市建设新型结核病防治服务体系期间所采取的主要措施和方法,对2012-2015年期间全市结核病防治工作主要质量指标完成情况进行分析。结果:2012-2015年期间,全市活动性肺结核新登记率为(3.97~5.02)/万,涂阳肺结核占比达(25.0~33.6)%,其他主要工作指标完成情况均达到国家考核要求。实施并完成了全球基金耐多药结核病防治项目。全市结核病定点医院诊疗能力显著增强,结核病防治工作质量稳步提升。结论:卫生行政主管部门是新型结核病防治服务体系建设的实施主体,健全疾控结构与结核病定点诊疗医院医防协调机制,提高定点医院结核病诊治能力,对非定点综合性医院及基层卫生机构加强培训和指导,是新型体系高质量运行的关键。
Objective: To analyze the status quo of construction of new tuberculosis prevention and treatment service system in Taizhou City and to further improve the quality of the new tuberculosis prevention and control service system. Methods: To summarize the main measures and methods adopted during the construction of new tuberculosis prevention and treatment service system in Taizhou City, and to analyze the accomplishment of the main quality indicators of tuberculosis prevention and control work in the city during 2012-2015. Results: During the period from 2012 to 2015, the new registration rate of active pulmonary tuberculosis in the city was (3.97 ~ 5.02) / million, accounting for 25.0% ~ 33.6% of smear positive pulmonary tuberculosis. Other major performance indicators reached the national assessment requirements. Implemented and completed the Global Fund to fight drug-resistant tuberculosis project. The city’s designated hospitals for tuberculosis clinics have significantly enhanced their ability to diagnose and treat tuberculosis and the quality of tuberculosis prevention and treatment has been steadily improved. Conclusion: The administrative department of health is the main body of the implementation of new TB prevention and treatment service system, improve the CDC and TB prevention and treatment medical and hospital coordination mechanism, improve the diagnosis and treatment of TB in designated hospitals, and strengthen the training of non-targeted general hospitals and primary health institutions And guidance, is the key to high-quality operation of the new system.