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目的分析泉州丰泽区实施结核病综合防治措施后,非结防机构报告疑似肺结核患者到位情况,探讨提高患者转诊到位率的方法。方法进一步规范患者的报告、转诊、追踪等管理。结果 2009—2013年,非结防机构转诊肺结核和疑似患者共1 441例,转诊到位率32.5%(469/1 441),追踪到位率87.1%(839/963),总体到位率91.4%(1 317/1 441),各项到位指标逐年提高。追踪未到位原因中,查无此人占55.6%。结论通过实施综合措施,非结防机构报告的患者和疑似患者追踪及总体到位率较高,但转诊到位率仍较低。应加大宣传力度,加强医防合作,提高首诊医生责任心,提高转诊到位率。
Objective To analyze the implementation of comprehensive prevention and treatment measures for tuberculosis in Fengze District of Quanzhou, and to report the status of patients with suspected pulmonary tuberculosis in non-prevention institutions and to explore ways to improve the referral rate of patients. Methods to further standardize patient reporting, referral, tracking and other management. Results From 2009 to 2013, 1 441 cases of TB and suspected TB patients were referred to non-TB prevention and control institutions. The referral rate was 32.5% (469/1 441), the follow-up rate was 87.1% (839/963) and the overall in-place rate was 91.4% (1 317/1 441). The various indicators in place have been increasing year by year. The reasons for tracking are not in place, check no such person accounted for 55.6%. Conclusion Through the implementation of comprehensive measures, patients reported to non-defensive institutions and suspected patients have higher follow-up rates and overall arrival rates, but referral rates are still low. Publicity should be stepped up to strengthen medical cooperation, improve the sense of responsibility of the first doctor and improve the referral rate.