| 引用本文：梁明理,孙强,闫赟,等.耐多药结核病控制策略研究综述[J].中国卫生政策研究,2009,2(12):27-30 |
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| 耐多药结核病控制策略研究综述 |
| 投稿时间：2009-11-16 修订日期：2009-11-20 PDF全文浏览 HTML全文浏览 |
| 梁明理1, 孙强1, 闫赟1, 王黎霞2, 李仁中2, 赵津2 |
| 1.山东大学卫生管理与政策研究中心卫生部卫生经济与政策研究重点实验室;2.中国疾病预防控制中心结核病预防控制中心 |
| 摘要:目前，为了控制耐多药结核病，许多国家在世界卫生组织提出的DOTS和DOTS Plus策略的基础上，实施诸如将各种医疗机构纳入国家结核病控制规划、限制抗结核药物获得、人力资源发展战略和使用固定剂量复合制剂等具体战略。我国虽然在耐多药结核病监测系统、医院和结防机构合作、设立定点医院和制定耐多药结核病规划等工作上取得了一定成绩，但存在国家层面的政策的缺失、医防合作效果差、人力资源紧张和抗结核药物管理混乱等不足。可能的建议是完善医防合作、制定定点医院补偿机制、加强结核病防治人员的培训、制定政策规范抗结核药物的销售和开展患者的保护性措施。 |
| 关键词:耐多药结核病 控制策略 综述 |
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| The review of multi drug resistance tuberculosis control strategies |
| LIANG Ming-li1, SUN Qiang1, YAN Yun1, WANG Li-xia2, LI Ren-zhong2, ZHAO Jin2 |
| 1.Center for Health Management and Policy of Shandong University, Key lab for Health Economics and Policy Research of Ministry of Health;2.National Center for Tuberculosis Prevention and Control of China CDC |
| Abstract:At present, in order to control Multi Drug Resistance Tuberculosis, according to DOTS and DOTS Plus strategies proposed by WHO, many countries have implemented many specific strategies, such as involving all providers into TB control, limiting the acquirement of anti tuberculosis drugs, strengthening the training of human resources and using Fixed Dose Combination etc. China has made some progress in the MDR TB control in terms of setting up MDR TB surveillance system, engaging different health providers into TB control and designing MDR TB control guidelines, but currently at the national level the overall MDR TB control strategies is still lacked, the collaboration between hospitals and TB dispensaries should be further strengthened, human resources arent enough and anti tuberculosis can be bought easily. We can adopt suggestions such as improving collaboration between hospitals and TB dispensaries, working out designated hospitals reimbursement mechanism, enhancing TB workers straining, designing guidelines on anti tuberculosis drugs and protecting patients from catastrophic expenditure. |
| Key words:Multi drug resistance tuberculosis,Control strategies,Review |
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