关键词: 结核, 肺/预防和控制, 卫生服务管理

Abstract: Objective  To investigate and evaluate the implementation status of cross-regional management procedures of pulmonary tuberculosis patients, and to provide scientific evidence to further improve the nation-wide cross-regional management procedures and work quality.  Methods  In terms of the number of patients transferred in and out between July to December in 2009, the top 4 provinces namely Guangxi, Guangdong, Fujian and Zhejiang province were selected for field study. In turn, each province selected top counties as study site. A combination of quantitative and qualitative method was adopted to conduct surveys and on-site interviews within the selected counties. There were totally 16 counties for field study and 40 respondents involved for interview.  Results  As on-site survey from the place the patients transferred out indicated, there were still 9.4%(45/479) of patients taking their drug and sputum examination in their first-registered dispensaries. Patients transferred through TB information management system accounted for 79.3 %(344/434) of actual patients transferred. The consistency rate was 84.8%(875/1032） between actual patient roll-out information and information from TB management system. As on-site survey from the place that patients transferred to illustrated, patients’ feedback information was highly consistent  with reports from TB information management system; while sputum examination results and treatment outcome feedback showed low consistency, which were 61.5%(198/322) and 45.6%(52/114) respectively. Some of the information had not been fed back by TB information management system in a timely manner. Interview results showed that the nation-wide cross-regional management procedure of pulmonary tuberculosis patients and TB management system had been generally recognized by respondents in the study areas, and could meet the management requirement. However there were still some difficulties and problems during the implementation process.  Conclusion  According to the key points of procedure and identified problems, more specific and focused working measures are demanded which turns out to further improve the performance quality of cross-regional pulmonary tuberculosis patients’ management.

Key words: Tuberculosis,pulmonary/prevention &, control, Health services administration