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[目的]通过深入分析青岛市结核病防治管理的问题,进一步理顺防治体系,探讨新的工作模式,为防治决策服务,促进我市结核病防治管理水平。[方法]对本市理顺结核病防治体制方案实施前后的效果变化进行定量分析。[结果]青岛市推行的结核病防治政策增强了预防控制的力量,DOTS管理率提高到90%以上,治愈率或完成疗程率有所提高,失访率降低,病人发现率由47%提高到70%以上,外来人口结核病人得到有效诊治。[结论]医疗资源的合理配置能够增加结核病防治管理的公平性和可及性。但青岛市结核病防治政策有待于进一步完善。体制改革需要不断探索,结核病防治需要科学发展,实现政府承诺,加大财政投入力度,政府购买“医疗服务”是做好结核病防治工作的有力保障。及时实施和完善减免政策,制定结核病医疗费用控制措施是提高结核病防治公益性,解决结核病患者“看病难,看病贵”的重要保证。
[Objective] Through in-depth analysis of the problem of tuberculosis prevention and control in Qingdao, further rationalize the prevention and control system, explore new working modes, and promote the management of tuberculosis prevention and treatment in our city for the purpose of preventing and treating decision-making. [Methods] Quantitative analysis was made on the changes in the effects of rationalization of tuberculosis prevention and control programs in the city before and after implementation. [Results] The prevention and control policies of tuberculosis in Qingdao promoted the power of prevention and control. The management rate of DOTS was increased to above 90%, the cure rate or completed treatment rate was increased, the rate of missed follow-up dropped, and the rate of patients’ discovery was increased from 47% to 70 % Or more, foreign population of TB patients get effective diagnosis and treatment. [Conclusion] The rational allocation of medical resources can increase the fairness and accessibility of tuberculosis control. However, TB prevention and treatment policies in Qingdao need to be further improved. Institutional reform needs to be constantly explored. Tuberculosis prevention and control needs scientific development, achieving government commitment and increasing financial input. The purchase of “medical services” by the government is a powerful guarantee for the prevention and control of tuberculosis. Timely implementation and improvement of the policy of relief, to develop control measures for medical expenses of tuberculosis is to improve the public welfare of tuberculosis prevention and treatment of tuberculosis patients, “see a doctor hard, see a doctor expensive” important guarantee.