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目的探讨福建省采用行政干预与技术干预相结合的措施,对提高肺结核病人发现水平的影响。方法加强政府承诺、多部门协作;实行项目管理,建立奖励机制;规范各项技术措施,加强病人发现督导。结果2001-2005年共发现活动性肺结核病人112 893例,其中涂阳病人61 425例。活动性肺结核病人登记率从62.5/10万提高到69.6/10万,涂阳登记率从28.0/10万提高到43.3/10万;新涂阳病人发现率从49.4%提高到74.1%,达到并超过国家下达的70%指标要求。结论行政干预与技术干预相结合的措施提高了肺结核病人发现水平。
Objective To explore the effect of adopting the combination of administrative intervention and technical intervention in Fujian Province to improve the detection level of pulmonary tuberculosis patients. Methods Strengthen the government’s commitment and multi-sectoral collaboration; implement project management and establish reward mechanisms; standardize various technical measures and strengthen patient discovery and supervision. Results A total of 112,893 active tuberculosis cases were found in 2001-2005, of which 61,425 were smear positive cases. The registration rate of active tuberculosis patients increased from 62.5 / 100,000 to 69.6 / 100,000, the registration rate of smear positive rose from 28.0 / 100,000 to 43.3 / 100,000; the detection rate of new smear positive patients increased from 49.4% to 74.1% More than 70% of the national targets issued. Conclusion The combination of administrative intervention and technical intervention improves the detection level of pulmonary tuberculosis patients.