Abstract: Objective  To evaluate the quality of outpatient TB service in TB institutions under case-based payment pilot project.  Methods  Two hundreds of patients who registered from Jul.2009 to Jun.2010 in Miluo and Linxiang TB institutions and had completed full-course treatment before the survey were sampled (100 cases per county). Through going through the patients’ medical records, retrospective survey was made on the tests the patients took in the diagnosis and treatment process and treatment in dealing with adverse drug response. The data of the survey were input by Epidata, and SPSS 17.0 was used for statistical analysis.  Results  In addition to the national TB free policy covered items, for new smear positive patients, 79.12%(72/91), 61.54%(56/91), 54.95%(50/91) of patients were prescribed urine, blood, ECG test respectively; the corresponding proportions of new smear negative patients examined for these tests were 73.33%（77/105）,49.52%(52/105) and 36.19%(38/105) respectively. 90.11％（82/91）and 93.33%（98/105）of new smear positive and smear negative patients received liver function tests respectively. TB institution did not provide vision, hearing, kidney function tests. Regardless of the existence of patients with abnormal liver function tests, all patients were prescribed free liver protection drugs for preventive therapy.   Conclusion  The case-based payment methods increased the scope of free tests; especially promoted the patients’ accessibility to liver function test, improved the outpatient TB service quality in TB institutions.

Key words: Tuberculosis, pulmonary/economics, Uncompensated care, Cost control, Hunan province