[目的]分析麒麟区非结防机构发现肺结核患者网络直报、转诊及报告患者到位情况和影响患者到位的因素，为实施结核病防治新模式提供依据。[方法]查阅2005-2011年《中国疾病预防控制信息系统结核病管理信息系统的统计分析报表——非结防机构网络报告肺结核患者转诊、追踪及核查报表》，统计分析非结防机构肺结核网络报告肺结核患者转诊、追踪及核查情况。[结果]2005-2011年麒麟区非结防机构网络报告肺结核患者1696例，重报率4.2%，转诊率29.1%，到位率68.4%，核查管理率29.5%；到位患者1113例，转诊到位占36.5%，追踪到位占58.2%，其他占5.3%；到位患者核查情况分析，确诊为活动性肺结核并纳入管理占43.13%，非结核占33.15%，到位未收治占23.72%；非结防机构网络报告肺结核患者核查管治率仅为24.72%；未到位情况分析，追踪未到位占27.4%，未追踪占23.3%，无追踪信息占39.6%，其他（非结防机构治疗）占9.7%。[结论]开展“医防”合作后非结防机构发现肺结核患者的报告、转诊率在逐年提高，但远远达不到高发现率，高治疗率的要求，开展新的“三位一体”肺结核管治模式是新形势下提高发现率、获得高治疗率，达到高治愈率肺结核防治目标的最佳模式。%Objective To analyze the patients in place situation and affect factors of TB case detection in non-prevention TB agencies, network direct reporting and referral in order to provide basis for carrying out new model TB prevention.Methods Checked and statistic analyzed the data of“TB management statistical forms of China disease prevention and control information system——network reporting system , referral , tracking and verification in non-prevention agencies”from 2005 to 2011.Results From 2005 to 2011 in Qilin district, non- prevention agencies reported 1696 TB cases , re-report rate was 4.2%, referral rate was 29.1%, in place rate was 68.4%, verification and management rate was 29.5%; In place patients were 1113, 36.5% was referral patients, 58.2% was tracked patients, 5.3% was others. Analyzed the in place patients’ situation, it showed that 43.13% were confirmed TB and rolled in management, 33.15% were non-tuberculosis, 23.72% patients were in place but did not be cured. About checking and management patients, only 24.72% were reported by non-defense agencies. To analyze the patients who were not in place, it showed that 23.72% were tracked but not in place, 23.3% were not tracked, and 39.6% were no tracking information, others(be cured in non- prevention agencies) were 9.7%.Conclusions Since started the cooperation cure and prevention, the reporting rates and referral rates were increasing year by year, then there were far from to achieve the requirement of high detection rates and high cure rates. So, start the new trinity model of TB management is the best practice under new situation.
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