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目的评价新疆新型结核病防治服务体系实施效果,为提高新疆结核病防治工作质量提供参考建议。方法收集2011—2015年新疆结核病防治工作报表,采用定性和定量研究方法评价新型防治服务模式的实施效果。结果2015年新疆新型结核病防治服务体系全覆盖后,肺结核病患者发现数从2011年老模式下的34 432例/年,增长到2015年新模式下的42 413例/年;从2011年至2015年,初诊肺结核病可疑者査痰率由49.13%增长到72.92%,结核病患者登记管理率从66.69%增长到76.81%,转诊率从78.04%增长到82.61%,转诊到位率由28.65%增长到59.61%,追踪到位率从67.89%增长到83.59%,总体到位率从79.19%增长到94.66%。结论新疆新型结核病防治服务体系已全面建立,肺结核病病例发现水平不断提高,诊疗行为进一步规范,报告、转诊和追踪等工作指标大幅上升,医疗卫生资源得到充分利用,结核病防治工作取得明显进步。
Objective To evaluate the implementation effect of new tuberculosis prevention and treatment service system in Xinjiang and provide reference for improving the quality of tuberculosis prevention and treatment work in Xinjiang. Methods The report on tuberculosis prevention and treatment in Xinjiang from 2011 to 2015 was collected, and qualitative and quantitative methods were used to evaluate the effect of the new prevention and treatment service model. Results After the coverage of the new tuberculosis prevention and treatment service system in Xinjiang in 2015, the number of tuberculosis cases detected increased from 34,432 cases / year under the old model in 2011 to 42,413 cases per year under the new model in 2015. From 2011 to 2015, Year, newly diagnosed tuberculosis suspicious sputum rate increased from 49.13% to 72.92%, tuberculosis registration management rate increased from 66.69% to 76.81%, the referral rate increased from 78.04% to 82.61%, the referral rate increased from 28.65% To 59.61%. The tracking rate has increased from 67.89% to 83.59%, and the overall penetration rate has increased from 79.19% to 94.66%. Conclusion The service system for prevention and treatment of new forms of tuberculosis in Xinjiang has been established. The detection level of TB cases has been continuously improved, the standard of diagnosis and treatment has been further standardized, the working indicators such as reporting, referral and tracing have risen sharply. The medical and health resources have been fully utilized and tuberculosis prevention and control has made significant progress.