本文選題：結(jié)核病 + 網(wǎng)絡(luò)直報(bào)��； 參考：《浙江大學(xué)》2006年碩士論文

【摘要】：2000年全國(guó)第四次流調(diào)結(jié)核病流行病學(xué)調(diào)查報(bào)告提示,全國(guó)有近2/3的活動(dòng)性病人和3/5的涂陽(yáng)肺結(jié)核病人未被發(fā)現(xiàn),所以如何加強(qiáng)病人發(fā)現(xiàn)率,將盡可能多的病人挖掘出來,進(jìn)行規(guī)范化治療,是我們迫切需要解決的問題。而從2004年開始啟動(dòng)的全國(guó)傳染病網(wǎng)絡(luò)直報(bào)系統(tǒng),作為傳染病報(bào)告的一大高速公路,可以動(dòng)員所有醫(yī)療單位將盡可能多的結(jié)核病人進(jìn)行網(wǎng)絡(luò)報(bào)告;同時(shí)結(jié)核病作為專病管理,由于其療程比較長(zhǎng)、病人易失訪、易傳播等特點(diǎn),所以國(guó)家對(duì)結(jié)核病實(shí)行歸口管理,所有發(fā)現(xiàn)的疑似肺結(jié)核病人必須統(tǒng)一轉(zhuǎn)診至當(dāng)?shù)匦l(wèi)生行政部門統(tǒng)一指定的定點(diǎn)歸口管理單位進(jìn)行治療。但是由于影響非結(jié)防醫(yī)療機(jī)構(gòu)轉(zhuǎn)診的因素比較多,如利益驅(qū)動(dòng)、結(jié)防機(jī)構(gòu)與非結(jié)防醫(yī)療機(jī)構(gòu)銜接不夠、病人依從性差等因素,造成網(wǎng)絡(luò)直報(bào)病人在實(shí)際工作中不能到位。所以如何充分利用網(wǎng)絡(luò)直報(bào)報(bào)告系統(tǒng)的優(yōu)勢(shì),加強(qiáng)網(wǎng)絡(luò)直報(bào)肺結(jié)核病人到結(jié)防機(jī)構(gòu)的到位率,來加強(qiáng)肺結(jié)核病人的發(fā)現(xiàn)率,是我們急需解決的問題,本次調(diào)查將通過對(duì)試點(diǎn)的調(diào)查,評(píng)價(jià)影響網(wǎng)絡(luò)直報(bào)肺結(jié)核病人的到位率的各種影響因素對(duì)到位率的影響程度,以便改進(jìn)干預(yù)措施,進(jìn)一步提高肺結(jié)核病人的發(fā)現(xiàn)率。 材料與方法 選取的試點(diǎn)縣總共為四個(gè):湖州市的城郊區(qū)、安吉縣;嘉興市的桐鄉(xiāng)市、海寧市。試點(diǎn)縣地處杭嘉湖平原地區(qū),地區(qū)總?cè)丝?83.35萬(wàn);經(jīng)濟(jì)相對(duì)比較發(fā)達(dá),生活水平比較高,當(dāng)?shù)剜l(xiāng)鎮(zhèn)之間交通比較便捷,外來務(wù)工人員比較多。近幾年結(jié)核病防治工作開展良好。結(jié)防機(jī)構(gòu)設(shè)置比較完善,鄉(xiāng)村防保體系比較健全。 對(duì)試點(diǎn)縣非結(jié)防機(jī)構(gòu)網(wǎng)絡(luò)直報(bào)肺結(jié)核病人核查追蹤情況進(jìn)行橫斷面調(diào)查,調(diào)查的內(nèi)容包括:年齡、性別、職業(yè)等一般情況;到位方式,追蹤情況:追蹤方式、
[Abstract]:The report of the fourth national epidemiological survey on fluid-tuned tuberculosis in 2000 showed that nearly two-thirds of active patients and 3 / 5 of smear-positive tuberculosis patients in the country were not found. So how to strengthen the patient detection rate and excavate as many patients as possible? Standardized treatment is an urgent problem that we need to solve. The National Infectious Diseases Network Direct reporting system, which was launched in 2004, as a major highway for infectious disease reporting, can mobilize all medical units to report as many TB patients as possible on the network; meanwhile, tuberculosis is managed as a special disease. Because the course of treatment is relatively long, patients are easy to visit and spread, so the state implements centralized management of tuberculosis. All suspected pulmonary tuberculosis patients must be referred to the local health administration for treatment. However, there are many factors that affect the referral of non-knockout medical institutions, such as interest drive, insufficient connection between preventive organizations and non-knockout medical institutions, poor compliance of patients, and so on, which result in the failure of direct network reporting of patients in actual work. Therefore, how to make full use of the advantages of the network direct reporting system, and how to strengthen the arrival rate of direct network reporting of tuberculosis patients to knockout organizations to strengthen the detection rate of tuberculosis patients is a problem we urgently need to solve. The investigation will evaluate the influence of various factors affecting the arrival rate of TB patients through the pilot investigation in order to improve the intervention measures and further improve the detection rate of pulmonary tuberculosis patients. Materials and methods A total of four selected pilot counties: Huzhou suburbs, Anji County; Jiaxing Tongxiang City, Haining City. The pilot county is located in the plain area of Hangzhou and Jiahu, with a total population of 2.8335 million. The economy is relatively developed, the standard of living is relatively high, the transportation between local villages and towns is relatively convenient, and there are more migrant workers. TB prevention and control work has been well carried out in recent years. Knot prevention mechanism is relatively perfect, rural prevention and insurance system is relatively sound. Cross-sectional investigation was carried out on the verification and tracking of tuberculosis patients directly reported by the network of non-knot prevention institutions in the pilot counties. The contents of the investigation included: age, sex, occupation, etc.; the way in place, the way of tracking: the way of tracing, the way of tracing, the way of tracing, and so on.
【學(xué)位授予單位】：浙江大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2006
【分類號(hào)】：R181.3

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 屠德華;;肺結(jié)核病的直接督導(dǎo)下短程治療[J];當(dāng)代醫(yī)學(xué);2000年09期

2 董夏;疾病預(yù)防控制工作人力資源開發(fā)初探[J];中國(guó)公共衛(wèi)生管理;2004年01期

3 陳莉,樊立華,宋喜林;提升疾病控制中心人力資源地位的必要性及對(duì)策[J];中國(guó)公共衛(wèi)生管理;2004年04期

4 李穎,汪洋;流動(dòng)人口結(jié)核病的影響因素研究現(xiàn)狀[J];國(guó)外醫(yī)學(xué)(社會(huì)醫(yī)學(xué)分冊(cè));2005年02期

5 任利民;從傳染病網(wǎng)絡(luò)直報(bào)看傳染病疫情管理[J];疾病監(jiān)測(cè);2004年11期

6 黃起烈,陳偉,張興樹;深圳市外來人口肺結(jié)核病防治效果及影響因素研究[J];中國(guó)防癆雜志;2001年06期

7 安燕生,張立興,屠德華;流動(dòng)(非北京市戶籍)人口對(duì)北京市結(jié)核病流行的影響[J];中國(guó)防癆雜志;2004年06期

8 房俊涌,龔幼龍,武桂英,袁本初,陸安詳,王曉瑾;造成結(jié)核病人復(fù)治的原因分析[J];中國(guó)公共衛(wèi)生;1999年10期

9 周海城;關(guān)于疾病防治工作中非專業(yè)隊(duì)伍的思考[J];中國(guó)健康教育;2004年01期

10 李群,王曉萌,何海波,何鐵牛,韓永興,孫頌文,姚強(qiáng),朱一凡,徐旭卿;WHO浙江省結(jié)核病耐藥監(jiān)測(cè)研究報(bào)告[J];中華結(jié)核和呼吸雜志;2000年12期

，

本文編號(hào)：1794739