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El progreso en el control de la tuberculosis y la evolución del sistema de salud pública en China
Longde Wang1, Jianjun Liu, Daniel P Chin
1Ministry of Health, Beijing, China.
Lancet (London, England)
|February 27, 2007
Resumen
China China China China también.
Área de la Ciencia:
- Salud Pública La salud pública.
- Epidemiología La epidemiología.
- Control y Control de Enfermedades Infecciosas
Sus antecedentes:
- China se enfrentó a una importante epidemia de tuberculosis con un lento progreso en el control y altas tasas de tuberculosis multirresistente en la década de 1990.
- Las debilidades en el sistema de salud pública fueron expuestas por la epidemia de SARS de 2003.
- El control inadecuado de la tuberculosis se relacionó con deficiencias sistémicas de salud pública.
Objetivo del estudio:
- Examinar cómo el fortalecimiento de los programas de control de enfermedades de China y el sistema de salud pública mejoró los resultados del control de la tuberculosis.
- Analizar la relación sinérgica entre las intervenciones específicas de la enfermedad y la mejora general del sistema de salud pública.
Principales métodos:
- Revisión de las reformas de salud pública y las estrategias de control de enfermedades infecciosas implementadas en China después de 2003.
- Análisis de las tasas de detección de casos de tuberculosis y tendencias de tuberculosis multirresistente antes y después de las intervenciones.
- Evaluación de las iniciativas de fortalecimiento del sistema de salud pública, incluida la financiación, las revisiones legales y los sistemas de informes.
Principales resultados:
- La detección de casos de tuberculosis aumentó significativamente de aproximadamente 30% a 80% para el año 2005.
- China alcanzó sus objetivos mundiales de control de la tuberculosis para 2005.
- El fortalecimiento de los programas de control de enfermedades, especialmente para la tuberculosis, contribuyó a un sistema de salud pública más robusto.
Conclusiones:
- El compromiso post-SARS del gobierno chino con la reforma de la salud pública aceleró los esfuerzos de control de la tuberculosis.
- Las mejoras en el sistema de salud pública fueron cruciales para lograr los objetivos nacionales y mundiales de control de la tuberculosis.
- Los esfuerzos integrados en el control de enfermedades y el fortalecimiento de la infraestructura de salud pública producen importantes resultados positivos para la salud.
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