实施印度尼克夏·波珊计划 (Nikshay Poshan Yojana) 为结核病患者的战略杆点:一个范围审查
Arjun B1, Chaitra Cm1, Ananthakrishnan M1
1Community and Family Medicine, All India Institute of Medical Sciences, Bhopal, Bhopal, IND.
Cureus
|November 10, 2025
概括
尼克夏·波珊计划 (NPY) 在印度面临实施挑战,主要是由于行政和银行问题,导致结核病患者的付款延迟. 简化流程和改善银行接入是关键的解决方案.
科学领域:
- 公共卫生 公共卫生
- 卫生系统研究 卫生系统研究
- 营养政策 营养政策
背景情况:
- 结核病 (TB) 仍然是印度的一个重大公共卫生问题,营养不良加剧了患者的结果.
- 尼克夏·波珊计划 (NPY) 是一个国家直接福利转移 (DBT) 计划,为结核病患者提供营养支持.
- 有效的NPY实施对于印度的结核病控制战略至关重要.
研究的目的:
- 综合关于NPY实施挑战和解决方案的证据.
- 通过网络分析,识别和建模挑战和解决方案之间的相互联系.
- 确定提高NPY计划绩效的关键杆点.
主要方法:
- 一项系统的文献搜索确定了16项关于NPY实施的初级研究.
- 关于障碍和解决方案的定性发现被主题综合.
- 网络分析,使用程度和中间中心性,建模主题互连和确定杆点.
主要成果:
- 确定了四种主要障碍类别:行政/程序,金融/银行,患者层面和医疗保健系统/提供者.
- 显著的付款延迟 (中位数:43天至5.2个月) 与这些障碍有关.
- "缺乏银行账户"成为一个非常重要的障碍,而患者的健康状况是一个关键的桥梁挑战.
- 关键的解决方案包括简化银行和NPY流程,并实施强有力的监测和评估.
结论:
- 解决"缺乏银行账户"和患者健康状况对于NPY成功至关重要.
- 简化NPY和银行流程,以及加强监控,可以改善计划实施.
- 建议采取有针对性的干预措施,重点关注银行业务接入,流程简化和卫生系统加强.
相关概念视频
01:28Pulmonary Tuberculosis V
530
Medical management of tuberculosis (TB) patients involves a comprehensive approach that includes diagnosis, treatment, and monitoring. The specific strategies can vary depending on the type of tuberculosis (latent or active), the patient's overall health status, and other considerations.
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
530
01:29Pulmonary Tuberculosis I
816
Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
816
01:26Methods Of Healthcare Delivery System
3.9K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.9K
01:28Pulmonary Tuberculosis II
1.4K
Tuberculosis, or TB, is a bacterial infectious disease caused by Mycobacterium tuberculosis. While its primary impact is on the lungs, leading to pulmonary tuberculosis, it can also affect various other organs, a condition referred to as extrapulmonary tuberculosis.
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
1.4K
01:26Pulmonary Tuberculosis IV
469
Tuberculosis, more commonly referred to as TB, is an infectious disease stemming from Mycobacterium tuberculosis. While it primarily impacts the lungs, TB can also affect other body areas. Given its severity and global impact, timely and accurate diagnosis is crucial for controlling its spread and improving patient outcomes.
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
469
01:31Pulmonary Tuberculosis III
908
Tuberculosis (TB) is a contagious infection primarily affecting the lung parenchyma but which can also affect other body parts. TB can be classified based on disease development, presentation, and the affected anatomical site.
The first classification is based on the development of the disease, and it includes the following categories:
The first classification is based on the development of the disease, and it includes the following categories:
908