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私人医生对结核病诊断级联中的"患者优先"的看法,印度希萨尔,印度
Sanjeev Saini1, Banuru Muralidhara Prasad1, Ajay Mahajan2
1Infectious Disease Detection and Surveillance (IDDS), ICF, New Delhi 110037, India.
Diagnostics (Basel, Switzerland)
|June 19, 2024
概括
印度 印度 印度
科学领域:
- 公共卫生 公共卫生
- 传染病诊断 诊断 传染病诊断
- 加强卫生系统 加强卫生系统
背景情况:
- 印度的结核病 (TB) 诊断已经通过新的工具得到改善,但高成本阻碍了私人医生的采用.
- 印度国家结核消除计划 (NTEP) 提供免费的诊断网络,以激励私营部门的参与.
- "患者优先"的方法对于早期发现结核病至关重要.
研究的目的:
- 评估一站式结核病诊断解决方案模型在哈里亚那州希萨尔区的实施和影响.
- 评估私人医生对这种以患者为中心的结核病诊断模型的看法.
主要方法:
- 实施了一站式结核病诊断解决方案模型,收集和测试私人医生转诊患者的样本.
- 分析了来自1159个标本的数据,并使用雪球采样对30名私人医生进行了定性采访.
- 确保所有标本都遵循NTEP的诊断算法.
主要成果:
- 在32%的标本中检测到Mycobacterium结核病 (MTB),在7%的标本中检测到抗力.
- 私人医生对"以患者为中心"的模式及其服务表示满意.
- 该研究强调,需要对私人诊断设施进行认证,以确保质量.
结论:
- 一站式结核病诊断解决方案模式有效地将私人医疗保健提供者纳入国家结核病诊断网络.
- 加强和认证私营结核病诊断服务对于改善印度整体结核病控制至关重要.
- 该模型展示了一个成功的公私伙伴关系,用于增强结核病诊断.
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