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目的探索流动人口结核病防治方法和策略,促进固镇县结核病防治规划目标实现。方法通过结防机构、健康体检机构、医疗机构的密切协作,实施流动人口可疑结核病患者转诊、追踪,提高患者发现水平;延长门诊服务时间,提高医疗服务可及性;实施流动人口结核病患者就诊、治疗激励机制和心理支持,提高流动人口结核病患者治疗依从性,提高治愈率。结果流动人口可疑结核病患者转诊到位率、追踪到位率水平明显提高,分别达到33.3%、100.0%,总体到位率92.3%,与同期户籍人口结核病患者及疑似患者转诊追踪总体到位率93.4%接近;流动人口结核病患者发现与同期相比提高260.0%,治愈率达到90.3%。结论固镇县流动人口结核病防治项目实施取得较好效果,防治策略值得在其他市县借鉴推广;由于流动人口结核病防治难度大,在考核、评价不同地区结核病防治工作效果时,宜将流动人口与户籍人口分开考核评价。
Objective To explore methods and strategies for prevention and control of tuberculosis among floating population and to promote the goal of tuberculosis prevention and control in Guzhen County. Methods Through the close cooperation between prevention and control agencies, health checkup agencies and medical institutions, the referral and tracking of suspicious TB patients in floating population was carried out to improve the level of patient discovery; the outpatient service hours were extended and the accessibility of medical services was enhanced; and the treatment of migrant tuberculosis patients , Treatment incentives and psychological support to improve the treatment of migrant tuberculosis patients compliance and improve the cure rate. Results The referral rate and follow-up rate of suspicious TB patients in floating population were significantly increased, reaching 33.3% and 100.0% respectively, with an overall in-place rate of 92.3%. Compared with the overall referral rate of referral and follow-up of 93.4% of registered tuberculosis patients and suspected patients in the same period, ; Floating population tuberculosis patients increased by 260.0% compared with the same period, the cure rate reached 90.3%. Conclusion The implementation of the TB prevention and treatment project for migrant population in Guzhen County has achieved good results. The prevention and cure strategy deserves to be popularized in other cities and counties. Due to the difficulty in preventing and treating tuberculosis in floating population, it is preferable to assess the effect of tuberculosis prevention and treatment in different areas when comparing the floating population with Household population separately assessment evaluation.