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目的评价县级定点医院模式结核病实施效果。方法对县级2004—2006年结核病月报表、季报表和年度报表进行分析。结果实施定点医院模式后,活动性肺结核病人登记率、涂阳肺结核病人登记率显著提高,由模式改革前的118.12/10万、36.95/10万提高到模式改革后的143.59/10万、52.38/10万;治愈率平均为92.8%。结论县级定点医院模式取得了成功,但仍继续完善定点医院模式,制订规范措施。
Objective To evaluate the effect of TB model at designated hospitals in county level. Methods The monthly, quarterly and annual reports of tuberculosis at the county level from 2004 to 2006 were analyzed. Results After the implementation of the designated hospital model, the registration rate of active pulmonary tuberculosis patients and the registration rate of smear positive pulmonary tuberculosis patients increased significantly from 118.12 / 100000 and 36.95 / 100000 before the mode reform to 143.59 / 100000 and 52.38 / 100,000; the cure rate averaged 92.8%. Conclusion The county-level designated hospital model has achieved success. However, it still continues to improve the fixed-point hospital model and formulate normative measures.