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目的全面了解合肥市2004年肺结核病人归口管理情况,分析存在的问题并提出相应的对策,为进一步做好合肥市肺结核病人归口管理工作提供依据。方法对市区部分医疗机构的2次归口管理检查资料及结防机构收到的转诊单进行核对统计,计算转诊率和转诊到位率等。结果2004年合肥市肺结核病人转诊率和到位率分别为95%和66%;转诊单位数较2003年增加13家,转诊到位病人数增加265例;转诊到位病人中户籍人口为408例,占97.14%;流动人口仅占2.86%。结论2004年合肥市转诊及转诊到位肺结核病人数较2003年有明显增加(2χ=14.25,P<0.01);但归口管理工作仍需加强,外来人口肺结核病人的归口管理应引起重视。
Objective To comprehensively understand the centralized management of pulmonary tuberculosis patients in Hefei in 2004, analyze the existing problems and put forward corresponding countermeasures, so as to provide the basis for further carrying out centralized management of pulmonary tuberculosis patients in Hefei. Methods To check the data of two centralized management and examination of some medical institutions in the urban area and the referral orders received by the prevention and treatment institutions, and calculate the referral rate and referral rate. Results The referral rates and the prevalence rates of pulmonary tuberculosis patients in Hefei in 2004 were 95% and 66% respectively. The number of referral units increased by 13 compared with 2003, and the number of referral patients increased by 265 cases. The referral population of registered patients was 408 Cases, accounting for 97.14%; floating population accounted for only 2.86%. Conclusion The number of cases of referral and referral to tuberculosis in Hefei in 2004 was significantly increased compared with that in 2003 (2χ = 14.25, P <0.01). However, centralized management still needs to be strengthened and the centralized management of pulmonary tuberculosis among migrants should pay more attention.