摘要
目的了解上海市7区肺结核病病人的社区管理现状,为更好地发挥社区在肺结核病控制中的作用提供依据。方法问卷调查7区100家社区卫生服务机构,定性访谈每区2～3家机构的领导和医务人员。结果 2005—2009年7区肺结核病病人管理率在97.0以上;肺结核病病人管理的社区工作模式主要分三类条线医生管理、全科团队管理和条块结合管理;全程督导管理比例都在80.0以上。结论进一步加强城市社区卫生服务中心在结核病控制工作中的作用;根据实际情况采取适宜的肺结核病病人社区管理模式;进一步增加与综合性医院、结核病定点医院的合作;继续加大肺结核病的健康教育。
OBJECTIVE To understand the current status of community management of Pulmonary TB patients in 7 Districts of Shanghai in order to perform a better function to its role.METHODS Questionnaire investigations of 100 community health service centers(CHSC);key informant interviews for administrators and relevant health workers in 2～3 centers in each district.RESULTS Management rate of Pulmonary TB patients was more than 97.0% druing 2005 to 2009.There were three models in managing pulmonary TB patients:managed by special person in department of prevention of CHSC,managed by general practitioners in CHS stations under CHSC,combine the two models as mentioned;Directly Observed Treatment through whole course was applied most frequently and the rate was more than 80.0%.CONCLUSION Further strengthening the effect of CHSC in the role of Pulmonary TB control is still important.Applying an appropriate model according to the actual situation.Improving the cooperation with general and designated hospitals.Providing more awareness education to public.
出处
《中国初级卫生保健》
2011年第4期19-21,共3页
Chinese Primary Health Care
基金
中华人民共和国科技部"十一五"科技重大专项课题:特大城市结核病综合防治模式研究(2009ZX10003-017)
关键词
社区
肺结核病病人
管理
community
pulmonary tuberculosis patients
management
