关键词: 结核,肺, 移动结核门诊, 门诊医疗, 卫生服务管理, 对比研究, 数据说明,统计

Abstract:

In this study, a descriptive study was used to compare the data of patient detection and treatment management in Changshan County in the four years before(2013-2016) (referred to as “before implementation”) and the three years after (2017-2019) (referred to as “after implementation”) the implementation of “mobile tuberculosis clinic” service. Chi-square test was used for count data comparison before and after implementation, with P<0.05 for the difference was statistically significant. The results showed that 146 patients and 263 times were served after the implementation. The registration rate of tuberculosis patients was decreased from 118.31/100000 (1144/966944) to 99.25/100000 (746/751611), and the difference was statistically significant (χ ²=13.54, P=0.000). The cure rate of pathogenic positive patients increased from 87.47% (363/415) to 94.12% (336/357), with statistically significant difference (χ ²=9.91, P=0.002). The completion rate of treatment for patients with negative etiology increased from 88.89% (648/729) to 93.83% (365/389), with a statistically significant difference (χ ²=7.28, P=0.007). The treatment success rate of tuberculosis patients who interrupted treatment increased from 52.14% (122/234) to 93.15% (136/146), with statistically significant difference (χ ²=69.38, P=0.000). Conclusion After the implementation of “mobile tuberculosis clinic” service, the quality of tuberculosis patient management in Changshan County has been improved, which provides the basis and reference for further improving the management mode of tuberculosis prevention and treatment.

Key words: Tuberculosis,pulmonary, Mobile tuberculosis clinic, Ambulatory care, Health services administration, Comparative study, Data interpretation,statistical