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目的掌握河南省基层医疗卫生机构结核病防治工作开展情况,作为结核病基本公共卫生服务项目的基线数据,为今后评价结核病基本公共卫生服务项目提供依据。方法采用回顾性研究方法,全省17个省辖市随机各抽取1县1区,每个县区、济源市和10个直管县随机各抽取2个乡镇(办事处)2个村(居委会)的基层医疗卫生机构。现场填写调查表并核对原始材料,使用Excel/SPSS15.0软件进行分析。结果截至2015年底,本次抽样到的县区,综合评分均值为71.95分,省辖市和直管县之间差异无统计学意义。报告的结核病患者(包括耐多药患者)管理得分率为83.32%,肺结核可疑症状者发现得分率为57.57%,服药规范得分率为79.38%,其中乡镇肺结核可疑症状者筛查达标率为26.67%。基本公共卫生服务实施过程中面临弥补经费缺口及人力资源建设的挑战。结论截至2015年底,河南省结核病基本公共卫生服务项目各项工作处于起步阶段,部分三级指标已经实现。需继续开展培训,加强基层建设,探索保障措施。
Objective To grasp the progress of tuberculosis prevention and control in primary health care institutions in Henan Province as the baseline data of basic public health services for tuberculosis and provide the basis for the future evaluation of basic public health services for tuberculosis. Methods A retrospective study was conducted. Seventeen provinces in the province randomly selected 1 district and 1 district, and each county, Jiyuan city and 10 straight pipe counties randomly selected 2 villages (offices) and 2 villages (neighborhood committees ) Primary health care institutions. Fill in the questionnaire on site and check the raw materials, using Excel / SPSS15.0 software for analysis. Results As of the end of 2015, the average of the integrated grading counties in this county was 71.95 points. There was no significant difference between provincial cities and straight-line counties. Reported tuberculosis patients (including MDR patients) management score was 83.32%, tuberculosis suspicious symptoms were found in 57.57%, medication specification score was 79.38%, of which the township tuberculosis suspicious symptoms screening rate of 26.67% . The implementation of basic public health services faces the challenge of making up for funding shortfalls and building human resources. Conclusion As of the end of 2015, all the basic public health service projects for tuberculosis in Henan Province are in their infancy, with some three levels of indicators already in place. It is necessary to continue training, strengthen grass-roots construction and explore safeguards.