关键词: 结核,肺/预防和控制, 信息管理, 评价研究, 宜昌市

Abstract: Objective  To evaluate the implementation effects of integrated information management platform for disease control and prevention institutions, medical institutions and community health service institutions, and provide reference for the new model for TB patients management. Methods  Analysis the overall arrival rate and tracing rate of 1269 （630 cases in 2011，639 cases in 2012）suspected patients, the review on time rate of 451(241 cases in 2011，210 cases in 2012）new smear positive patients and the loss rate of 516 （277 cases in 2011，239 cases in 2012）patients before and after using TB Control Information System (TCIS) in Yichang. Using Delphi to analyze the difference including information delivery methods，reliability, timeliness, accuracy of 8 indicators between the 20 institutions using management platform and other 16 institutions not using it. Results  The overall arrival rate were 85.56%（539/630）and 92.64%（592/639）（χ²=16.45，P<0.01），the tracking in place rate were 63.89%（161/252）and 79.20%（179/226）(χ²=13.61，P<0.01）, the review on time rate after 5 months were 76.76%（185/241） and 94.29%（198/210）(χ²=26.91，P<0.5),the loss rate were 3.97%（11/277） and 0.84%(2/239)(χ²=5.13，P<0.05) respectively before and after using management platform. The differences were all statistically significant. For the 20 institutions used management platform，the 8 indicators including information delivery, reliability, timeliness, accuracy are all better to those not used. Conclusion  Application of TCIS management platform can strengthen the information communication between the institutions, improve work efficiency and patients service capability and management level.

Key words: Tuberculosis,pulmonary/prevention &, control, Information management, Evaluation studies, Yichang city