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目的通过分析和评价上海市普陀区社区肺结核标准化管理规范实施情况和取得的成效,探讨特大型城市社区肺结核防治模式的可持续发展机制。方法以普陀区各社区卫生服务中心为现场,采用现有资料收集、问卷调查方法进行定量研究。结果普陀区社区肺结核管理规范在辖区得到有效实施,社区标准化管理系列手册得到社区医生及肺结核病患者的支持。2011—2015年,普陀区肺结核新登记率呈下降趋势,新涂阳治愈率均达到85.00%以上,疑、确诊肺结核病总体追踪到位率均达90.00%以上,密切接触者筛查率为100.00%。对患者的手册发放率达100.00%,患者手册使用率达90.87%。医务人员对手册的满意率为100.00%,其中有40.98%满意程度为满分结论普陀区社区肺结核病综合管理模式有效落实过程管理,量化各项工作内容,建立效果评价体系并为患者提供有效的卫生干预,取得了较好的管理效果。
Objective To explore the mechanism of sustainable development of prevention and control of tuberculosis in community-sized cities by analyzing and evaluating the implementation status and achievements of standardization management of tuberculosis in Putuo District, Shanghai. Methods Taking the community health service centers in Putuo District as the site, the existing data collection and questionnaire survey were used to conduct quantitative research. Results Putuo District community tuberculosis management practices in the area have been effectively implemented, community standardization management manuals have been community doctors and patients with tuberculosis support. 2011-2015, Putuo District, the new registration rate of tuberculosis showed a downward trend, the new cure rate of more than 85.00% of smear positive, suspect, diagnosed pulmonary tuberculosis tracking rate reached 90.00% or more, close contact screening rate was 100.00% . The patient’s manual release rate of 100.00%, the patient manual usage rate of 90.87%. Satisfaction rate of 100.00% of medical staff to the manual, of which 40.98% Satisfaction Degree was satisfactory Conclusion Putuo District community integrated management of tuberculosis effective implementation of process management, quantify the content of the work, the establishment of an evaluation system and effective provision of effective health care for patients Intervention, and achieved good management results.