关于在中国实施综合结核病控制模式的决定因素的概念框架
Xi Chen1,2, Jiani Zhou1, Quan Yuan1
1Department of Social Medicine and Health Service Management, College of Preventive Medicine, Army Medical University (Third Military Medical University), Chongqing, China.
Frontiers in medicine
|September 5, 2024
概括
一个新的概念框架有助于理解中国结核病综合控制模式面临的挑战. 它确定了改善结核病护理和以患者为中心的服务的决定因素和结果.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 健康管理健康管理
背景情况:
- 改善结核病 (TB) 护理对于实现全球结核病战略目标至关重要.
- 中国在2012年启动的结核病综合控制模式,在有效的结核病护理方面面临着挑战.
- 在这种模式下,缺乏全面的框架阻碍了对影响结核病护理提供因素的理解.
研究的目的:
- 提出一个新的概念框架,以了解中国结核病综合控制模式中的结核病护理的决定因素.
- 提供对结核病护理决定因素的多视角理解,强调以患者为中心的方法.
- 引导实证研究和干预开发,以改善结核病控制系统层面的障碍.
主要方法:
- 开发了一个概念框架,整合公共管理和卫生服务的洞察力.
- 调整了PRISM (促进社会科学和医学研究) 模型及其元素.
- 纳入卫生系统块和实施研究成果指标.
主要成果:
- 拟议的框架包括4个模块和7个TB综合控制实施的决定因素领域.
- 假设结核病控制服务是公共服务,需要以患者为中心的方法.
- 评估包括实施和服务成果.
结论:
- 该概念框架提供了一种结构化的方法,用于识别结核病综合控制中的障碍和促进者.
- 它可以指导经验研究和开发有针对性的干预措施.
- 该框架支持在综合卫生系统内提高结核病护理的质量和有效性.
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