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评价宣武区五年来肺结核病人归口管理的做法及成效。方法 建立归口管理制度 ,定期抽查综合医院诊断记录、入院登记、报告记录 ,通过对疫情报告卡片追访核实 ,掌握漏报、确诊、转诊到位及截留病人情况。结果 抽查漏报率为 0 .4 %~ 2 .0 % ;转诊到位率为 75.0 %~ 86 .1% ;截留率为 2 3.3%~ 10 .1%。结论 疫情报告逐年好转 ,转诊到位率逐年提高 ,截留率下降 ,截留病例 90 %以上为结核性胸膜炎。
Evaluation of the practice and effectiveness of centralized management of tuberculosis patients in Xuanwu District in the past five years. Methods Establish centralized management system, regularly check the general hospital diagnosis records, admission records, report records, through the follow-up verification of the epidemic report card to master omission, diagnosis, referral and retention of patients. The results of sampling missed the rate of 0.4% ~ 2.0%; referral rate was 75.0% ~ 86.1%; retention rate of 23.3% ~ 10.1%. Conclusion The epidemiological report improved year by year, the referral rate increased year by year, the retention rate decreased, more than 90% of the cases of interception were tuberculous pleurisy.