A Cohort Study About TB Control Effect Under Two Kinds Of Collaboration Models In Chongqing

ObjectivesTo understand TB patients in both the models for hospital-dispensary TBcollaboration of diagnosis, treatment and prevention management situationin Chongqing, comparing the treatment outcome of patients, TB diseaseburden, and TB control effect evaluation, provided the scientific basis forimproving the TB medical prevention collaboration models.MethodsIn to carry out the dispensary, designated hospital model in three countiesof Chongqing, by establishing a prospectie cohort study,divided into thebaseline survey, follow-up investigation and ending the three stages, forTB patients in the dispensary and designated hospital model by which newTB patients diagnosed patients using the self-made questionnairefollow-up survey, Using Epidata3.1double entry check data, diagnosis andanalysis of patients with SPSS19.0software process.ResultsBuild queue, the designated hospital model with283cases, the dispensary was194, ending investigation, the designated hospital model with222cases, the dispensary was131cases, lost to follow-up rate of21.6%and32.5%respectively; Men is women with2times, junior high schooleducation level and the following group,19to59years old age groupmore, medicare high proportion; Delay phenomenon is serious to thepatient, fixed-point hospital,127cases (44.9%), which was all129(66.5%)cases delay exists, which was the mode diagnosis delay situation than thefixed-point hospital badly; The designated hospital delay to the patientwith tuberculosis smears, gender, age, culture level, occupation, medicareor not has nothing to do, annual household income level (p>0.05);Logistic regression analysis found that which was the farmers of thedispensary are more likely to appear patient's delay (p <0.05); Most of thefirst doctor choose non-professional TB prevention and controlinstitutions;The designated hospital for patients with telephone steeringfrequency higher than the dispensary, by which satisfaction is higher than97%; Two models treatment outcome in patients with no difference (p>0.05), which was the dispensary of unknown ending more happen; Thedesignated hospitall patients of burden of treatment costs much higherthan the dispensary, examination fees of the designated hospitall higher (p<0.01).ConclusionTB patients was liquidity, easy to lost to follow-up; Most TB patients first option mechanism for the junction structure, prone to delay treatment,which the patients of the dispensary were more severe; The designatedhospital phone steering frequency than the dispensary; The designatedhospital patient care expenses burden heavier; The local TB work of womodels can be well done, but each have advantages and disadvantages,should adjust measures to local conditions around the tuberculosis controlstrategies.