在秘鲁利马提供结核病诊断服务的以人为中心的策略
C M Yuen1,2, A K Millones3, D Acosta3
1Division of Global Health Equity, Brigham and Women's Hospital, Boston, MA, USA.
Public health action
|September 22, 2023
概括
患者对结核病 (TB) 诊断服务的偏好,包括移动单位和家庭查,可以帮助缩小诊断差距. 根据个人需求量身定制服务是早期检测的关键.
科学领域:
- 公共卫生 公共卫生
- 传染病流行病学 传染病流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 缩小结核病 (TB) 诊断差距需要将诊断服务与患者寻求护理的偏好保持一致.
- 了解青结核病诊断策略的人口差异对于公平的服务提供至关重要.
研究的目的:
- 确定提供结核病诊断服务的首选战略.
- 为了确定是否对结核病诊断服务的偏好在人口群体之间有所不同.
主要方法:
- 一个最好最坏的缩放仪器评估了在秘鲁利马的150名肺结核患者中对9种假设的结核病诊断服务交付策略的偏好.
- 一个t测试分析了人口群体之间的偏好分数的差异.
主要成果:
- 综合移动单位,加快医疗中心注意力和家庭查是最受青的结核病诊断策略.
- 80%的参与者强烈喜欢这三个策略中的至少一个.
- 快速医疗中心的注意力显著地更喜欢那些经历了更长时间延迟结核病诊断的人.
结论:
- 在可访问的地点实施以个人为中心的结核病诊断服务可以改善不同人群的接触.
- 将诊断服务提供量身定制为患者偏好,对于促进早期结核病诊断和缩小诊断差距至关重要.
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