关键词: 结核, 肺/预防和控制

Abstract: Objective To analyze the status of health consultation of tuberculosis(TB) suspects in different conditions,and to explore the Methods to improve the consultative rate of TB patients. Methods In 30 counties which implemented FIDELIS(Fund for Innovative DOTS Expansion through Local Initiatives to Stop TB) project,the suspected are transferred to county level TB dispensaries or township/ general hospital smear microscopy spots by having trained village-doctor referred,and compared with the self-referred suspected patients.The active pulmonary tuberculosis will receive 8 yuan communication allowance,and the medical practitioner will receive 24 yuan reward who has successfully referred 1 smear positive patient. Result 43464 TB suspects were enrolled in 30 county dispensaries where the FIDELIS project has been implemented from Nov.2004 to Oct.2005.The consultative rate of TB suspects was 0.6‰,and the consultative rate of self referred TB patients was 1.2‰.In 2003,the consultative rate of referred by medical practitioner and self referred were 0.2‰ and 1.2‰,respectively,and the total in the 30 units was 1.4‰.Compared with the rate before the project implementation,the consultative rate TB suspects has increased 28.5%.In poverty and non-poverty counties,the consultative rate were 1.7‰ and 1.8‰,and among them,the rates of referred by medical practitioner and self referred were 0.9‰,0.8‰,and 0.6‰,1.3‰,respectively.In plain,mountainous and hill counties,their consultative rates were the same,1.8‰,and among them,the rates of referred by medical practitioner were 0.5‰,1.0‰ and 0.6‰,respectively. Conclusion Recommending the suspected patients to TB dispensary referred by medical practitioners,it is effective to increase the rates of consultative and case-finding,especially in poverty and mountainous areas where they lack of medical supports and information.

Key words: pulmonary tuberculosis/prevention and control