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The MODS method for diagnosis of tuberculosis and multidrug resistant tuberculosis
Published on: August 11, 2008
Fortalecimiento del sistema de salud y control de la tuberculosis
Rifat Atun1, Diana E C Weil, Mao Tan Eang
1Imperial College Business School, Imperial College London, London, UK. r.atun@imperial.ac.uk
Lancet (London, England)
|May 22, 2010
Resumen
El fortalecimiento de los sistemas de salud débiles es crucial para el control mundial de la tuberculosis (TB). Las soluciones innovadoras y específicas del contexto en el diseño del sistema y las intervenciones contra la tuberculosis son esenciales para un manejo eficaz de la enfermedad y mejores resultados para los pacientes.
Área de la Ciencia:
- Salud Pública La salud pública.
- Fortalecimiento de los sistemas de salud.
- Control y Control de Enfermedades Infecciosas
Sus antecedentes:
- Los sistemas de salud débiles a nivel mundial impiden los esfuerzos de atención y control de la tuberculosis (TB).
- Existen pruebas limitadas sobre intervenciones efectivas para abordar los cuellos de botella sistémicos en los programas de TB.
- Es fundamental abordar la gobernanza, el financiamiento, la cadena de suministro, los recursos humanos, la información de salud y la prestación de servicios.
Objetivo del estudio:
- Identificar innovaciones en el diseño de sistemas de salud y estrategias de control de la tuberculosis.
- Resolver los cuellos de botella del sistema identificados que obstaculizan el cuidado y el control de la TB.
- Examinar los efectos adversos de los diseños de sistemas subóptimos y documentar soluciones innovadoras.
Principales métodos:
- Examen sistemático de las pruebas publicadas.
- Revisión de las evaluaciones de programas y estudios de casos.
- Análisis de las innovaciones específicas de cada país en el control de la tuberculosis y el diseño del sistema de salud.
Principales resultados:
- Identificó los principales cuellos de botella del sistema en la gobernanza, la financiación, la cadena de suministro, los recursos humanos, los sistemas de información de salud y la prestación de servicios.
- Soluciones innovadoras documentadas para el control de la tuberculosis y el fortalecimiento del sistema de salud.
- Destacó que las soluciones son específicas del contexto, sin un enfoque único para todos.
Conclusiones:
- Los avances en el control de la tuberculosis y el fortalecimiento del sistema de salud son complementarios y se refuerzan mutuamente.
- La innovación simultánea en los sistemas de salud y la respuesta a la enfermedad es vital para una gestión eficaz de la TB.
- Se necesitan políticas y prácticas específicas del contexto, basadas en la evidencia, que requieren documentación y comparación de respuestas variadas.
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