Health Facilities and Treatment Service Models of the National Tuberculosis Program — China, 2010−2020

A new tuberculosis (TB) treatment service model called "trinity model" has been adopted in China since 2010 but the implementation coverage is still unknown. In 2020, more than one-third (36.5%) of health facilities diagnosed less than 100 TB cases, about one-fourth (25.5%) diagnosed 100 to 200 cases, and 94 health facilities diagnosed more than 800 cases. Among 2,960 county-level TB management areas, 157 (5.3%) counties were dominated by CDCs, 364 (12.3%) were dominated by TB/infectious diseases-specific hospitals, 370 (12.5%) independent TB dispensaries (or chronic disease stations), and 2,069 (69.9%) general hospitals. The National TB Program (NTP) needs to explore more suitable treatment reimbursement mechanisms and help treatment facilities build an efficient referral system to provide quality treatment services for TB patients.