Abstract: Objective To evaluate tuberculosis (TB) management status and effect in general hospital, and to summarize experience and provide reference for improving the TB management work.Methods The referral information of 4225 suspected pulmonary TB patients in general hospitals, district health care facilities and TB control institutions in 2009—2013 were checked. The TB management system and procedure in general hospitals were gotten by field interviewing and spot-check of X-ray chest films was carried out to evaluate the diagnosis level. Rate and proportion were used to describe the categorical data. Chi-square test was applied for rate comparison. P<0.05 was set as the criteria for statistical difference.Results The referral arrival rates were 85.08% (154/181), 85.56% (160/187), 87.50% (168/192), 90.34% (187/207) and 94.29%(198/210) from 2009 to 2013. The referral arrival rate increased significantly year by year (χ²_trend=10.74, P=0.001), which indicated the general hospitals attached great importance to patient referral work. Among them, 46.78% (457/977) of the referral suspected patients from general hospitals were diagnosed as active pulmonary TB, which accounted for 33.55% (457/1362) of the total referral TB cases in the district. Among the suspected pulmonary TB patients, 65.97% (572/867) arrived on the same day, among which 80.97% (702/867) were arrived actively, 20.88% (181/867) were transferred from the TB control institution to the general hospital because of illness requirement.Conclusion The general hospital plays an important role in TB case finding. The standardization work flow is the key to guarantee the referral efficiency of suspected TB patients in general hospitals. The effect of TB management in district general hospital is good.