关键词: 结核,肺/预防和控制, 预防卫生服务

Abstract: Objective To test the feasibility of the interventions on reporting,referring and tracing of tuberculosis patients and to determine the impact of the interventions on case finding in a pilot area.Methods Perspective study was carried out in the counties(districts) with acceptable DOTS implementation quality in three provinces.A package of interventions focused on improving reporting,referring and tracing tuberculosis patients through the cooperation between hospitals and tuberculosis dispensaries were implemented in the pilot area for 6 months.The qualitative and quantitative data collected from the same period of previous year of the pilot and from the duration of the pilot were compared and analyzed.Results Compared with the previous year of the pilot,the mechanism of cooperation between hospitals and tuberculosis dispensaries has been established and improved,and the standardized working procedures on reporting,referring within hospitals and tracing from tuberculosis dispensaries has been implemented and improved.The data from target hospitals showed that not only the absolute number of identified patients,reported patients,and referred patients but also the percentage of reported patients,referred patients increased significantly comparing with the data before the pilot.The overall arrival rate of the reported patients from the Internet Based Communicable Diseases Reporting System that should be referred was 82.6%.The overall impact result showed that among registered tuberculosis patients in tuberculosis dispensaries,the number of confirmed TB patients from all hospitals increased 1.4 times.This contributed to the overall patients finding in the pilot area.Conclusion The package of approaches to strengthen the cooperation between hospitals and tuberculosis dispensaries focused on improving reporting,referring and tracing are feasible.Case finding increased significantly through the related interventions.The experiences and some key parameters could be applied in the planning process of PPM-DOTS expansion.

Key words: Pulmonary tuberculosis/prevention and control, Preventive health services