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[目的]总结福建省“三位一体”(结防机构、综合性医院和乡镇卫生院共同参与)结核病控制新模式的成效。[方法]制定工作模式评估方案,以人力资源建设、DOTS覆盖、公众防控知识、病人发现及治疗管理和社会效益等指标,对新模式进行评价。[结果]结防机构及能力建设得到加强;公众结核病防治核心信息知晓率高于全国平均水平;综合性医院转诊比例逐年增高;以县为单位的DOTS覆盖率已达100%;2005年以来新涂阳肺结核病人发现率稳定在70.0%以上,登记满1年的病人治愈率88.2%以上,圆满完成结核病防治规划目标,获得较好的社会和经济效益。[结论]福建省“三位一体”的结核病控制新模式巳逐步完善并取得初步成效,建议进一步制定和实施更有效的对策和行动并推广应用。
[Objective] To summarize the effectiveness of the new model of tuberculosis control in Fujian Province, “Trinity” (prevention and control agencies, general hospitals and township hospitals). [Method] To develop a working model evaluation plan, evaluate the new model based on indicators of human resource construction, DOTS coverage, public prevention and control knowledge, patient discovery and treatment management and social benefits. [Results] The prevention and control agencies and capacity building were strengthened. The awareness rate of public TB control core information was higher than the national average. The proportion of general hospitals referral increased year by year. The coverage of DOTS by county reached 100%. Since 2005, The detection rate of new smear-positive pulmonary tuberculosis was stable at over 70.0%. The cure rate of patients registered over one year was over 88.2%, and the goal of tuberculosis prevention and treatment planning was satisfactorily fulfilled, obtaining better social and economic benefits. [Conclusion] The new model of tuberculosis control in Fujian Province “Trinity” has been gradually improved and achieved initial success. It is suggested that more effective measures and actions should be formulated and implemented and popularized and applied.