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私人提供者参与南印度国家结核病计划
A D Meundi1,2, J H Richardus2
1Department of Community Medicine, Dr Chandramma Dayananda Sagar Institute of Medical Education and Research, Dayananda Sagar University, Bengaluru, India.
Public health action
|December 11, 2023
概括
印度的私营医疗服务提供商在参与国家结核病消除计划 (NTEP) 时面临着挑战. 改善诊断,灵活性和提供者互动是改善结核病护理的关键.
科学领域:
- 公共卫生 公共卫生
- 传染病控制和控制传染病
- 卫生系统研究 卫生系统研究
背景情况:
- 印度承担了全球新增结核病 (TB) 病例的最高负担.
- 私人提供者 (PP) 在国家结核病消除计划 (NTEP) 的参与不足,阻碍了全面的结核病控制工作.
研究的目的:
- 探索影响私人提供商参与NTEP的感知经验,障碍和促进者.
- 了解PP在各种医疗保健环境中的观点.
主要方法:
- 使用焦点小组讨论和与私人提供商进行深入采访的定性研究.
- 用于数据解释的框架和主题内容分析.
主要成果:
- 关键的障碍包括没有全面的诊断和程序不灵活.
- 私人提供者对NTEP有错误的看法,认为它是为负担不起的穷人提供服务.
- 过去的负面经验和对NTEP疗法的怀疑是普遍存在的,尽管人们希望更频繁,更积极的互动.
结论:
- 提高结核病护理的质量,特别是在较低水平,至关重要.
- 改善诊断可用性和计划灵活性对于更大的PP参与至关重要.
- 建议在NTEP和私人提供者之间建立更具支持性和互动性的关系,包括同情的患者沟通.
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