烟台市医疗与防控合作模式调整前后对结核病控制效果的对比研究

中国防痨杂志 ›› 2011, Vol. 33 ›› Issue (9): 544-547.

烟台市医疗与防控合作模式调整前后对结核病控制效果的对比研究

高少波王茂波郭培军冯雪英周正全丁睿

山东省烟台市疾病预防控制中心

收稿日期:2011-05-10 出版日期:2011-09-10 发布日期:2012-01-29
通信作者: 高少波 E-mail:shaobogao@126.com

The comparative study of the effect of TB control before and after adjusting the cooperation model between medical agencies and TB dispensaries in Yantai city

GAO Shao-bo, WANG Mao-bo, GUO Pei-jun, FENG Xue-ying, ZHOU Zheng-quan, DING Rui

Department for TB Control and Prevention of Yantai Center for Disease Control and Prevention

Received:2011-05-10 Online:2011-09-10 Published:2012-01-29
Contact: GAO Shao-bo E-mail:shaobogao@126.com

摘要/Abstract

摘要： 目的评价医疗与防控合作（简称“医防合作”）模式调整前后烟台市结核病控制效果。方法利用2004—2009年13家不同医防合作模式（专科医院模式、综合医院模式、结核病防治所模式、疾控中心模式）县级单位的结核病监测报表等资料，对市级医防合作模式调整前后（2004—2006年为调整前，2007—2009年为调整后）的转诊率、追踪率、追踪到位率和总体到位率进行趋势χ²检验、对患者发现与治疗管理的综合效果值（impact of case-finding and treatment, ICT）进行χ²和多个样本率的两两比较分析，P<0.05为有统计学意义。结果 2004—2009年间转诊率在32.26%（549/1702）到100.00%（992/992）之间、追踪率在68.37%（575/841）到100.00%（474/474）之间、追踪到位率在50.26%（289/575）到89.90%（605/673）之间，总体到位率在30.55%（520/1702）到95.87%（951/992）之间，各率分别经趋势χ²比较，差异有统计学意义（χ²值分别为2432.82、550.97、212.07、1839.08，P值均＜0.05）； 4种模式的ICT值分别为专科医院51.13%［（1244×1161×1122）/（2048×1244×1244）］、结防所68.07%［（4168×4055×3990）/（5703×4168×4168）］、综合医院51.89%［（310×296×288）/（530×310×310）］、疾控中心71.09%［（903×895×875）/（1220×903×903）］，经χ²检验差异有统计学意义（χ²=158.25，P<0.05）。结论烟台市实施医防合作模式调整后的结核病控制效果明显高于调整前。

关键词: 结核, 肺/预防和控制, 烟台市

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

高少波王茂波郭培军冯雪英周正全丁睿.
烟台市医疗与防控合作模式调整前后对结核病控制效果的对比研究[J]. 中国防痨杂志, 2011, 33(9): 544-547.

GAO Shao-bo, WANG Mao-bo, GUO Pei-jun, FENG Xue-ying, ZHOU Zheng-quan, DING Rui. The comparative study of the effect of TB control before and after adjusting the cooperation model between medical agencies and TB dispensaries in Yantai city[J]. Chinese Journal of Antituberculosis, 2011, 33(9): 544-547.

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