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一个通过巴基斯坦私营部门进行结核病检测和治疗的社会企业模式
S M A Zaidi1,2, W Z Jamal2, U Ibrahim3
1WHO Collaborating Centre for Tuberculosis Research and Innovation, Institute for Global Health, University College London, UK.
一个社会企业模式 (SEM) 通过建立可访问的中心,改善了巴基斯坦卡拉奇的结核病 (TB) 病例检测. 虽然实现了适度的成本回收,但干预措施显著增加了私营部门对结核病的通知.
科学领域:
- 公共卫生 公共卫生
- 卫生系统研究 卫生系统研究
- 传染病控制和控制传染病
背景情况:
- 巴基斯坦私营部门结核病 (TB) 病例通知现有模式面临财务不可持续性和有限的覆盖范围.
- 以前的方法在增加结核病例发现方面取得了适度的成功.
研究的目的:
- 评估社会企业模式 (SEM) 干预措施对巴基斯坦卡拉奇结核病例检测的影响.
- 评估针对结核病服务的SEM干预措施的财务可持续性.
主要方法:
- 建立专门建立的中心,将结核病查,诊断和治疗纳入私营部门.
- 免费提供结核病服务,通过对其他诊断的用户费用产生收入.
- 通过社区工作者吸引私人提供者和非正式部门的利益相关者进行选推.
主要成果:
- 查了171,488人,报告了18,683例结核病病例,其中包括197例耐药病例.
- 卡拉奇每年的结核病通知增加了40% (从18,105到25,840).
- 实现了15%的运营成本回收,商业收入为288,065美元;每例报告的TB病例平均成本为203美元.
结论:
- SEM干预显著促进了卡拉奇的结核病病例通知.
- 该模型显示了适度的财务可持续性和扩大私营部门结核病例发现的潜力.
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