我县人口84万余,70个乡,农业人口占95％。属于缺医少药,文化,经济较落后地区。而防痨工作起步晚。1982～84年县、区医院诊治254例排菌病人中136人因交通不便中途停药。因此,我们对菌阳结核病人的管理作了些改进。实行“质量管理到乡,联绩计酬”。现将具体做法简要汇报。 My county population 840000, 70 townships, agricultural population accounts for 95%. Belong to the lack of medical medicine, culture, economy is more backward areas. The anti-tuberculosis work started late. From 1982 to 1984, 136 out of 254 patients discharged from clinics in counties and districts were stopped for medical treatment due to traffic inconvenience. Therefore, we made some improvements on the management of bacillary positive TB patients. The implementation of “quality management to the township, the joint pay.” Now a brief report on the specific approach.