关键词: 结核/预防和控制, 预防卫生服务, 规范, 山东省

Abstract: Objective  To describe the effect of normative county establishment activity of the tuberculosis prevention and control in Shandong.   Methods  The standard for normative county was developed according to “the tuberculosis prevention and control normative”. The county health administration of 38 demonstration counties volunteered to make application, health administration at prefecture level reviewed primarily and the provincial health bureau approved, 19 counties were determined as establishment units finally. Financial support and technical guide were provided by the provincial TB control center. The county TB dispensaries standardized the TB control work according to the standard, those passed examination of the provincial health bureau became “normative county”.   Results  In the 19 establishment units, 17 units are approved to be “normative county”. The TB control funding of these counties has come up to more than 0.3 yuan per capita. The number of professional staffs also meets the standard of the normative. The proportion of the patients for first visit in the whole population has almost reached 300/100 000. The rates of taking X-ray and sputum test have reached 100%. The cure rate of new smear positive patients remains at 85% and above. The total arrival rate of non TB institutes has reached 90% and above.   Conclusion  The professional proficiency of the basic organizations of TB control has been generally improved and the foundation of better TB control work has been laid through the establishment activity.

Key words: Tuberculosis/prevention &, control, Preventive health services, Benchmarking, Shandong province