IMPROVING A SYSTEM FOR FOLLOW-UP OF TUBERCULOSIS FACILITY CONTINGENTS ON THE BASIS OF PERSONAL PATIENT MONITORING BY COMPUTER TECHNOLOGIES (RATIONALE AND PERFORMANCE CONDITIONS)

Abstract

The tuberculosis epidemic situation in the Russian Federation is gradually improving, but remaining very tense. The decline rates of tuberculosis epidemiological parameters have increased in recent years. The incidence of tuberculosis has dropped by 19.9% in the past 4 years, its mortality rates have fallen by 44.8% in the past 7 years. In 2012, the prevalence of tuberculosis shows the lowest level throughout the period of its statistical surveillance. For better management of follow-up monitoring of patients with active tuberculosis and patients from the groups of high risk of tuberculosis, it is necessary to upgrade the recording system for the vocational schools' population in order to perform the individual monitoring of these population groups using the computer databases.

In order to improve the reliability of estimates of tuberculosis morbidity and mortality rates, it is necessary to establish and maintain databases (DB) at three levels: the DB of TB service (level 1), the DB of all regional TB services (level 2), and the DB of services at federal level (level 3).