Abstract: Objective To improve the tuberculosis case-finding rate through strengthening the important rules played by the general hospital on tuberculosis control work.Methods To change the traditional tuberculosis control mode and extensively implement the referring case-management system,and to assign the responsibility of the tuberculosis control institution and the general hospital.Results The detection rate for new smear positive cases already increased to 55.7%. New notification rate of smear-positive pulmonary tuberculosis cases increased from 16.37/10⁵ in 2001 to 25.60/10⁵ in 2003. The referred rate increased from 77.8% in 2000 to 95.9% in 2003.Conclusion The referring case-management system effectively increased the case-finding rate and the referring rate in hospital. It’s a key to utilize existing medical care facicities for tuberculosis control.

Key words: Pulmonary tuberculosis/prevention and control, The general hospital, Zhejiang province