探索私营部门对利用结核病护理级联服务的障碍和促进者的观点:来自印度州的定性研究
Harsh D Shah1, Shalu Chaudhary2, Bharat Desai3
1Department of Public Health Science, Indian Institute of Public Health Gandhinagar (IIPHG), Opp. Air Force Head Quarters, Nr. Lekawada, Gandhinagar, Gujarat, 382042, India. hdshah@iiphg.org.
私人执业者私人执业者
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
- 卫生系统研究 卫生系统研究
背景情况:
- 私营部门对于结核病 (TB) 消除至关重要,提供诊断和治疗服务.
- 了解私人医生对结核病护理级联的看法对于改善干预至关重要.
研究的目的:
- 探索私人医生对结核病患者护理级联的看法.
- 确定影响结核病护理级联差距的因素,并为质量改进战略提供信息.
主要方法:
- 通过对印度哈邦17名私人医生的深入访谈进行定性研究.
- 通过半结构化,开放式调查问卷 (2021年3月至8月) 收集的数据.
- 感应性主题分析侧重于内容的可信性,以确保公正的调查结果.
主要成果:
- 在结核病诊断,治疗启动和治疗坚持不良方面发现了延迟.
- 客户,提供者和系统层面的因素被认为会影响结核病护理级联缺口.
- 积极因素包括强有力的治理和供应链管理;负面因素包括患者意识和提供商决策.
结论:
- 为了实现全球结核病消除目标,必须让私人医生参与其中.
- 识别特定于地理位置的障碍和促进因素是获得普遍结核病医疗保健的关键.
- 整合私营部门的见解可以提高结核病护理级联效率和患者的治疗结果.
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