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本文探讨三种结核病管理方式对TB病人发现途径、发现率及归口情况的影响。邹城市1993年实施世行结控项目,5年内病人发现率从29.81%提至69.81%,医院转诊归口人数从31.33%上升为61.74%,病人发现途径主要是县医院与结防所。临安市1994年实施卫生部结控项目,病人发现率高达63.13%,后3年渐减至52.94%,医院转诊归口人数未增加,其间略降,病人发现途径主要是乡卫生院,县医院及结防所。海宁市为非项目县,但受邻县实施卫生部结控项目管理方式影响,病人发现率从1994年15.70%上升至1997年的46.76%,病人发现途径与临安相似。
This article explores the impact of three TB management approaches on TB patient discovery pathways, detection rates and focal points. Zoucheng City in 1993 to implement the World Bank disease control projects, 5 years the patient detection rate increased from 29.81% to 69.81%, the number of hospital referrals increased from 31.33% to 61.74%, the main pathways found in patients with county hospitals and end of the anti-defensive. Lin’an City in 1994 to implement the Ministry of Health control program, the patient detection rate as high as 63.13%, after 3 years decreased to 52.94%, the number of hospital referral did not increase, during which slightly lower, the main pathways found in patients with rural hospitals, county hospitals And the end of defense. Haining City is a non-project county. However, affected by the implementation of the project of end-of-life control by the Ministry of Health in neighboring counties, the detection rate of patients in Haining increased from 15.70% in 1994 to 46.76% in 1997, and the way of finding patients was similar to that of Lin’an.