Abstract: Objective To evaluate the effect of TB control before and after adjusting the cooperation model between medical agencies and TB dispensaries in Yantai city. Methods By using the TB control monitoring reports from thirteen county-level units with different cooperation model between medical agencies and TB dispensaries (special hospital model, general hospital model, TB institution model, CDC model) from 2004 to 2009, the referral rate, the tracing rate, the tracing arrival rate, the overall arrival rate and the impact of case-finding and treatment (ICT) before and after adjusting the city-level cooperation model were analyzed with chi-square test and LSD-t test. There was a significant difference if P<0.05. Results From 2004 to 2009, the referral rate increased from 3226% (549/1702) to 100.00% (992/992), the tracing rate increased from 68.37% (575/841) to 100.00% (474/474), the tracing arrival rate increased from 5026% (289/575) to 89.90% (605/673), and the overall arrival rate increased from 30.55% (520/1702) to 95.87% (951/992), χ² test showed there were significant differences ( χ² values were 2432.82, 550.97, 212.07, 1839.08 respectively, P<0.05)；the ICT of specialt hospital model was 51.13%［(1244×1161×1122)/(2048×1244×1244)］, TB institution model was 68.07% ［(4168×4055×3990)/(5703×4168×4168)］, general hospital model was 51.89%［(310×296×288)/(530×310×310)］ and CDC model was 71.09%［(903×895×875)/(1220×903×903)］, there were significant differences( χ² =158.25, P<0.05) among the ICT of the four kinds of cooperation model. Conclusion The effect of TB control has been improved significantly after adjusting the coopeartion model between medical agencies and TB dispensaries in Yantai.

Key words: Tuberculosis,pulmonary/prevention &, control, Yantai city