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東インド の 民間 医療 提供 者 たち の 結核 報告 の 知識 と 実践
R Akshaya1, Binod Kumar Behera2, Binod Kumar Patro2
1Department of Community Medicine, Amrita Institute of Medical Sciences, Kochi, Kerala, India.
まとめ
私立医療機関では 結核の報告に関する認識と実践が低いことが示されています 結核症例報告と公衆衛生の監視を改善するために,義務的な訓練が推奨されています.
科学分野:
- 公衆衛生
- 感染症 疫学
- 医療政策
背景:
- 結核 (TB) は2012年以来,インドで報告義務のある病気です.
- すべての医療提供者による効果的な結核の報告は 病気の監視と制御に不可欠です
- 民間医療機関 (PHCP) は患者管理において重要な役割を果たしますが,TBの通知への関与は評価する必要があります.
研究 の 目的:
- 結核の通知に関するPHCPの知識と実践を評価する.
- 保健医療従事者の間で結核の通知慣行に影響を与える医師レベルと保健医療システムレベルの要因を特定する.
主な方法:
- 2020年2月から2021年5月までの間,インドのオディシャ州で横断的な研究が行われました.
- 89のPHCPからデータを収集するために,自己管理された半構造化アンケートが使用されました.
- 多変量ロジスティック回帰分析を用いて,TBの報告に関連する要因を決定した.
主要な成果:
- 医療従事者の64%だけが結核の報告義務を知っており,42%が結核の症例を報告したことがある.
- 結核の報告に関する認識は,結核の症例を診断したり治療したりした人々の間で普遍的でした.
- 報告の頻度が高くなった要因には,臨床環境,過去1年間に1例以上の結核の症例を診断し,政府部門での以前の作業が含まれています.
結論:
- 研究領域の保健医療従事者の間で結核の報告に関する知識と慣行は不十分でした.
- 結核の報告の意識と遵守を高めるために,すべての保健医療従事者のための定期的な,義務的な啓発訓練は不可欠です.
- 報告システムと医療従事者の教育を強化することで 結核の監視と制御の取り組みが改善できます
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