结核病防治医防合作新模式的运作与管理研究（峨眉山市疾病预防控制中心四川乐山614200）【摘要】目的：探讨结核病防治医防合作新模式的运作与管理。方法:自2001-2010年建立市、镇（乡）、村三级医疗网，将区县医院纳入结核病诊疗定点单位，形成定点医院诊断治疗、疾控中心监督管理的新型医防合作新模式,配合定点医院经济补偿、培训和督导、信息系统、宣传教育等措施。统计2001-2010年期间结核病初诊患者就诊情况、涂阳患者检出情况、转诊情况、追踪情况、新涂阳病人发现率、治疗转归情况。结果：2001-2010年9月共接待初诊患者8327例，就诊5193例,转诊2892例。门诊共查痰24981片数，涂阳患者1461例；追踪1165例病人，追踪到位943例，追踪到位率80.94%,结防门诊计划完成数为2336例，实际完成数为2834例，完成率为121.3%。新涂阳病人发现297例，新涂阳病人发现率为85.68%0涂阳病人治愈率96.36%,初治涂阴病人完成治疗率98.19%、总体治疗成功率97.26%,丢失率1.67%、失败率0.68%。结论：结核病防治医防合作新模式应将结核病诊疗定点单位转移至县区医院，建立三级医疗网络，同时做好信息系统建设、人才培训、宣传教育、政府领导及支持等配套制度和保障措施，可充分发挥医疗资源的作用，增强结核病防治。【关键词】结核病；医防合作新模式；防治措施【中图分类号】R18【文献标识码】A【文章编号】1007-8231（2016）24-0282-02StudyontheoperationandmanagementofthenewmodeofpreventionandcureoftuberculosisLvbin.MountEmeiCenterforDiseaseControlandPreventionLeshanSichuan614200【Abstract]ObjectiveDiscussionontheoperationandmanagementofthenewmodeofpreventionandcureoftuberculosis.MethodSince2001^2010establishedcity,town(township),threevillagelevelhealthcarenetwork,thecountyhospitalintuberculosisdiagnosisandtreatmentoffixed-pointunits,theformat!onofthedesignatedhospitalsfordiagnosisandtreatment,themedicalsupervisionandmanagementofthenewCDCantinewmodesofcooperationwiththedesignatedhospitalsforeconomiccompensation,trainingandsupervision,informationsystem,publiceducationandothermeasures.Statistics2001^2010duringtheperiodofnewlydiagnosedTBpatientsandsmearpositivepatientsweredetected,referral,follow-up,rateofdiscoveryofnewsmearpositivepatients,treatmentoutcomes.ResultInSeptember2001^2010receivedatotalof8327casesofnewlydiagnosedpatients,5193casesofpatients,2892casesofoutpatientreferral.Atotalof24981piecesofsputum,1461casesofsmearpositivepatients;follow-up1165patients,follow-upin943cases,thearrivalrateofTBclinic80.94%,planstocompletethenumberfor2336cases,thenumberofactualcompletionof2834casesfor1213%.,thecompletionrateofnewsmearpositivepatientsfound297casesofnewsmearpositivepatientsfoundthattherateof85.68%.curerateofsmearpositivepatientswas96.36%,treatmentrateof98.19%smearnegativepatients,theoveralltreatmentThesuccessratewas97.26%,thelossratewas1.67%,andthefailureratewas0.68%.CnclusionAntiTBmedicinenewmodeofcooperationshouldbetransferredtothecountyTBtreatmentunitsdesignatedhospital,establishedthreemedicalnetwork,andmaketheinformationsystemconstruction,personneltraining,publicityandeducation,governmentleadershipandsupportsystemandsafeguardmeasures,canmakefulluseofmedicalresources,strengthenthepreventionofTB.[Keywords]Tuberculosis;Newmodelofmedicalanticooperation;Preventionandcontrolmeasures结核病属于世界性疾病，发病率位于各类传染病之首。我国属于结核病高发国家，政府高度重视结核病疾病控制工作［1］。上世纪初期，我国政府实施世界银行贷款结核病控制项目，取得显著成效。为了继续加大结核病控制，峨眉山市疾控防治中心围绕“高发现率、高治愈率”目标，集中有限的医疗资源做好结核病防治医疗网络、组织建设、人才培养、疾...