在中国的初级医疗保健机构实施结核病控制计划的实施因素:使用"实施综合框架"研究框架的混合方法
Jiani Zhou1, Quan Yuan1, Qingning Huang1
1Department of Social Medicine and Health Service Management, Army Medical University (Third Military Medical University), Shapingba District, Chongqing Municipality, China.
Infectious diseases of poverty
|July 8, 2024
概括
低结核病知识和工作满意度阻碍了西中国的结核病控制. 解决这些障碍对于改善高负担地区的结核病控制计划至关重要.
科学领域:
- 公共卫生 公共卫生
- 传染病控制和控制传染病
- 医疗保健管理的管理
背景情况:
- 结核病 (TB) 仍然是一个重大的全球健康威胁,中国面临着相当大的负担.
- 中国的初级医疗保健 (PHC) 部门是结核病控制计划 (TCP) 的组成部分.
- 了解PHC内的实施挑战对于高发病率地区有效控制结核病至关重要.
研究的目的:
- 确定影响中国西部肺结核控制计划 (TCP) 实施的障碍和推动因素.
- 分析影响TCP在初级医疗保健机构中的有效性因素.
- 为加强结核病控制战略提供基于证据的建议.
主要方法:
- 从2021年10月到2022年5月,在中国西部进行了一项混合方法研究.
- 数据是通过对2720名结核病医疗保健工作者 (HCW) 的问卷调查和对20名PHC工作人员的采访收集的.
- 分析包括描述性统计,路径分析和以实施研究综合框架 (CFIR) 为指导的专题框架分析.
主要成果:
- 在社区和村庄HCW (84.6%和94.1%) 中,低专业头普遍存在.
- 较低的结核病知识分数,工作满意度和工作意愿被确定为TCP实施的重大障碍.
- 采访揭示了所有CFIR领域的障碍和四个领域的推动者,突出了诸如沉重的工作量和HCW热情等因素.
结论:
- 复杂的因素,包括障碍和促进因素,影响了TCP在中国西部PHC部门的实施.
- 这些发现强调了需要有针对性的战略来解决已识别的障碍和杆推动因素.
- 进一步的实施研究对于将这些发现转化为高负担地区有效的结核病控制战略至关重要.
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