“查出必治,治必彻底”已被公认为结核病防治工作中的重要原则。保证“治必彻底”的措施除治疗方案合理外,其关键在于对病人治疗的管理,确保全程规律服药,才能取得不住院治疗的成功。城市居住虽然集中,但是城市人口多,流动性大,病人居住较为分散,城市综合性医院多,牵涉到公费医疗,特约关系,医药费报销等问题,情况复杂。尤其是在结核病防治所尚未健全的地区,或结核病防治院离城市太远,病人就诊不方便,因此城市地区的不住院治疗,病人服药就存在着严重管理不善的问题。调动综合性医院开设肺科门诊,配合结防所大力推行不住院监督化疗很有必要,有其现实意义。 “Identify the will rule, will rule thoroughly” has been recognized as an important principle in tuberculosis prevention and control work. In addition to the “rule must be complete,” in addition to the treatment program is reasonable, the key lies in the management of patient treatment to ensure regular medication, in order to obtain the success of non-hospital treatment. Despite the concentration of urban living, the urban population is large, the liquidity is large, the patients are scattered and the number of comprehensive hospitals in the city is large, which involves many issues such as public medical expenses, special relations and reimbursement of medical expenses, and the situation is complicated. Especially in the areas where TB control is not yet complete, or when the TB prevention and treatment center is too far from the city and the patient is inaccessible, there is a serious problem of mismanagement in the inpatient treatment and patient medication in urban areas. It is very necessary to mobilize the general hospital to set up the pulmonary clinics and cooperate with the prevention and control to prevent the inpatient supervision and chemotherapy, which has its practical significance.