通过四种症状复合查评估结核病例的强化发现,通过覆盖范围,有效性,采用,实施,维护 (RE-AIM) 框架在德切里
Subalakshmi Subramaniyan1, Rajalakshmi Mahendran2, Kalaiselvan Ganapathy3
1Department of Community Medicine, Indira Gandhi Medical College and Research Institute, Puducherry, India.
Journal of family medicine and primary care
|October 3, 2025
概括
实施结核病 (TB) 和糖尿病 (DM) 联合活动改善了DM患者的结核病检测. RE-AIM框架指导了评估,显示了结核病消除努力的可行性和有效性.
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
- 慢性疾病管理 慢性疾病管理
背景情况:
- 结核病 (TB) 是全球主要的传染性死亡原因.
- 糖尿病 (DM) 显著增加结核病风险,并使治疗结果恶化.
- 解决结核病并发症对于实现结核病消除目标至关重要.
研究的目的:
- 通过RE-AIM框架评估联合TB-DM合作活动的影响.
- 评估在第三级护理环境中的干预措施的有效性.
- 确定可持续整合结核病-DM护理的战略.
主要方法:
- 采用混合方法方法,包括定性干预设计和定量干预前后评估.
- 干预措施包括医疗保健专业人士的敏感化和使用4s复合体对DM患者的系统查.
- 覆盖范围,有效性,采用,实施和维护 (RE-AIM) 框架指导了评估.
主要成果:
- 联合TB-DM活动通过DM患者的4s查提高了TB病例的检测.
- 医疗保健专业知识得到改善,干预措施被整合到常规实践中.
- RE-AIM框架强调了干预的优势和需要改进的领域.
结论:
- 4s复杂查证明了改善DM患者结核病检测的可行性和有效性.
- 使用RE-AIM框架进行结构化评估对于优化协作战略至关重要.
- 维持和扩大这些努力对于消除结核病至关重要.
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