Abstract: Objective Evaluate the effects of the implementation of referring system of pulmonary tuberculosis in Nanning city for 6 year.Methods Establish the referring system of pulmonary tuberculosis.Regularly checking the diagnosis records and the records of hospitalization and exchange registration in hospitals.And the situation of case managment and outcome of cases in hospitals.Results Since the establishment of the referring system,the case management rate,referring rate and referring success rate increased year by year.The highest rates were in 1999.That were 63.5%,86.2% and 63.1% respectively and then began to fall down.The percentage of cure rates was low.In 1999-2001,The cure rate of smear-positive case were 9.1%?29.1% and 26.5% respectively.Conclusion Although achievement has been made in field on the referring system,many problem still remains.Administrative interventions,monitoring and standardized case management should be strengthened.Units of convergence must be centralized.

Key words: Pulmonary,tuberculosis/prevention and control, Nanning city