The analysis of the referral and tracking situation of patients with suspected tuberculosis and tuberculosis from non-PTB control institutions network report in Bengbu city from 2008 to 2012
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摘要: 目的：分析蚌埠市2008～2012年非结核病防治机构（非结防机构）网络直报肺结核患者的转诊与追踪情况，为加强患者的治疗管理提供依据。方法：利用结核病管理信息系统中2008～2012年蚌埠市非结防机构网络报告肺结核转诊、追踪及核查报表，对7 513例需转诊患者的转诊到位率、追踪到位率、总体到位率及到位后肺结核患者检出率进行分析。结果：2008～2012年蚌埠市非结防机构网络报告肺结核及疑似肺结核患者转诊到位率差异无统计学意义（P>0.05），追踪到位率和总体到位率均呈逐年上升趋势（P<0.01）；各县/区非结防机构网络报告肺结核及疑似肺结核患者总体到位率亦均呈逐年上升趋势（P<0.01）；患者未到位原因中拒绝就诊（29.37%）和其他原因（27.57%）是主要构成原因，其次是患者外出（20.36%），患者资料不详或不实导致无法追踪占17.84%。结论：蚌埠市非结防机构网络直报肺结核及疑似肺结核患者转诊与追踪工作仍有提升的空间，为巩固和提高患者的总体到位率，督促非结防机构加强对转诊患者的健康教育、确保报告信息填写的完整准确和提升非结防机构诊断结核病能力等措施是提高患者到位的关键。Abstract: Objective: To analyze the the referral and tracking situation of patients with suspected tuberculosis and tuberculosis from non-PTB control institutions network report in Bengbu from 2008 to 2012 in order to provide the basis of strengthening the patient management.Methods: The referral,tracing and checking report in tuberculosis Management Information System of PTB patients reported by non-TB control institutions from Bengbu in 2008 to 2012 were investigated.The referral arrival rate,tracing arrival rate,total arrival rate and detection rate of PTB patients in 7 513 referral patients were analyzed.Results: The difference of the referral arrival rate in patients with suspected tuberculosis and tuberculosis from non-PTB control institutions network report in Bengbu from 2008 to 2012 was not statistical significance(P>0.05),the tracing arrival and total arrival rates in patients were a rising trend year by year(P<0.01),the overall arrival rate of the patients with suspected pulmonary tuberculosis and tuberculosis from non-PTB control institutions network report in each county and district was a rising trend year by year(P<0.01).The refusing to see a doctor(29.37%) and other reasons(27.57%) were the main causes of tracing non-arrival,follow by patients going out(20.36%),the patients with unknown or false information leading to unable to tract accounted for 17.84%.Conclusions: There is room for improving in the work of referring and tracing the patients with suspected tuberculosis and tuberculosis from non-PTB control institutions network report in Bengbu.Consolidating and improving the overall arrival rate,promoting the institutions health education,writing the complete report and improving the diagnostic capabilities of the non-PTB control institutions are the keys to increase arrival.
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