本文關鍵詞： 結核 肺 預防和控制 醫(yī)療機構 病人轉診　出處：《重慶醫(yī)學》2017年34期 　論文類型：期刊論文

【摘要】：目的通過分析重慶市醫(yī)療機構網(wǎng)絡報告肺結核疫情及轉診和到位確診患者情況,評價醫(yī)療機構在提高患者發(fā)現(xiàn)中的貢獻作用。方法通過重慶市各縣區(qū)的結核病控制工作月報表和結核病管理信息系統(tǒng)獲得重慶市2006-2015年醫(yī)療機構網(wǎng)絡直報的肺結核疫情數(shù)和確診的肺結核患者數(shù),采用χ2檢驗對不同年份、不同類別醫(yī)療機構的報告水平和確診患者進行分析。結果 2006-2015年全市醫(yī)療機構累計網(wǎng)絡直報實際肺結核疫情323 603例,報告數(shù)逐年上升。轉診到位率低于全國平均水平,且近年來呈下降趨勢。通過醫(yī)療機構網(wǎng)絡報告總體到位率逐年提高,活動性肺結核患者貢獻率由2006年的10.14%上升至2015年的52.09%(χ2=25 610.75,P0.01),涂片陽性肺結核患者貢獻率由2006的6.42%上升至2015年的52.46%(χ2=10 520.65,P0.01),耐多藥肺結核患者貢獻率為44.9%。市級綜合醫(yī)院、縣區(qū)級綜合醫(yī)院等發(fā)現(xiàn)的患者逐年增加(P0.01)。醫(yī)療機構來源的患者發(fā)現(xiàn)延誤中位數(shù)為56d,延誤率為79.62%。結論醫(yī)療機構對肺結核患者的發(fā)現(xiàn)貢獻逐漸增大,但該部分患者的發(fā)現(xiàn)延誤情況嚴重。
[Abstract]:Objective to report the tuberculosis epidemic situation, referral and definite diagnosis by analyzing the network of medical institutions in Chongqing. Methods Medical institutions in Chongqing from 2006 to 2015 were obtained through the tuberculosis control work month report and tuberculosis management information system in various counties and districts of Chongqing. The number of tuberculosis cases reported directly on the network and the number of confirmed tuberculosis patients. 蠂 2 test was used for different years. Results from 2006 to 2015, 323,603 cases of tuberculosis were reported directly by the cumulative network of medical institutions in the whole city. The number of reports increased year by year, the referral rate was lower than the national average level, and in recent years there was a downward trend. The overall arrival rate reported through the network of medical institutions increased year by year. The contribution rate of active pulmonary tuberculosis patients increased from 10.14% in 2006 to 52.09 in 2015 (蠂 2 25 610.75 P 0.01). The contribution rate of smear positive pulmonary tuberculosis patients increased from 6.42% in 2006 to 52.46 in 2015 (蠂 2 + 10 520.65% P 0.01). The contribution rate of MDR-TB patients was 44.9%. The number of patients found in county and district general hospitals increased year by year (P 0.01). The median delay of patients from medical institutions was 56 days. The delay rate is 79.62.ConclusionThe contribution of medical institutions to the discovery of pulmonary tuberculosis is gradually increasing, but the delay of discovery in this part of patients is serious.
【作者單位】： 重慶市結核病防治所防治科;
【基金】：重慶市衛(wèi)生計生委醫(yī)學科研計劃項目(2015MSXM106)
【分類號】：R521
【正文快照】： 結核病防治機構是我國肺結核防治工作的主要負責機構,也是肺結核患者發(fā)現(xiàn)、登記和治療管理的專業(yè)性實施單位。然而很大一部分患者出現(xiàn)肺結核可疑癥狀以后,首次就診未選擇結核病防治機構[1]。鑒于此種情況,2004、2005年原衛(wèi)生部辦公廳分別下發(fā)了《關于進一步加強肺結核病疫情報，

本文編號：1474691