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目的对“项目”实施六年实施效果及影响因素进行分析。方法重庆市结核病控制项目办公室中心登记室收集1992~1997年的季报及年报。结果截止至1997年底,全市“项目”覆盖人口为870%,接诊可疑患者149731例,发现活动性肺结核43135例,与“项目”前相比,涂阳登记率提高24个百分点,涂阳病人平均治愈率提高近10个百分点,证实结控项目的技术策略对结核病的控制成效。结论行政区划的变更、配套经费不足、流动人口管理不善及归口管理不力是影响项目覆盖、病例发现及“项目”实施效果的主要因素
Objective To analyze the implementation effect and influential factors of “Project” implemented for six years. Methods The registration center of the Chongqing Tuberculosis Control Project Office collects quarterly and annual reports from 1992 to 1997. Results As of the end of 1997, the population covered 87.0% of the projects in the city, 147,931 suspicious patients were admitted, and 43,135 cases of active pulmonary tuberculosis were found. Compared with that before the project, the enrollment rate of smear positive was increased by 24% The average cure rate of positive patients increased by nearly 10 percentage points, confirming the control strategy of tuberculosis control strategy. Conclusions The main factors affecting project coverage, case finding and implementation of “Project” are the changes of administrative divisions, inadequate supporting funds, poor management of floating population and poor centralized management