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[目的]了解永定县肺结核病人的转诊与追踪情况,探讨利用网络直报信息开展病人的追踪工作的方法,提高病人的发现水平。[方法]对2006~2008年永定县医疗单位网络直报肺结核病例转诊与追踪情况进行分析。[结果]2006~2008年,医疗机构报告肺结核病例1 186例,其中重报334例,应转诊852例,转诊到位率为31.57%,追踪到位率为50.43%,总到位率为66.08%。289例追踪未到位病人中,因地址不详或错误的占37.72%,因经济困难或行动不便拒绝进一步就诊的占20.42%。[结论]永定县肺结核病人转诊到位率与追踪到位率很低,总体到位率不高,应加强转诊与追踪干预措施。
[Objective] To understand the referral and follow-up of pulmonary tuberculosis patients in Yongding County and to explore ways to use the information of network direct reports to track patients and to improve the level of patients’ discoveries. [Methods] The data of direct referral and follow-up of tuberculosis cases in the medical units in Yongding County from 2006 to 2008 were analyzed. [Results] From 2006 to 2008, medical institutions reported 1 186 cases of pulmonary tuberculosis, of which 334 cases were re-reported, 852 cases were referred, the referral rate was 31.57%, the follow-up rate was 50.43% and the total arrival rate was 66.08% . Of the 289 unsuccessful follow-up patients, accounting for 37.72% due to unknown or incorrect addresses and 20.42% refusing further medical treatment due to financial difficulties or lack of mobility. [Conclusion] The rates of referral and follow-up of tuberculosis patients in Yongding County are very low, and the overall arrival rate is low. Therefore, referral and follow-up interventions should be strengthened.