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The Analysis and Evaluation of the Current Situation of Implementation of the Cooperation of General Hospitals and Tuberculosis Dispensaries Strategy on Tuberculosis Control in the City of Wuhan

Author: ZhaoLingBo
Tutor: LuZuZuo
School: Huazhong University of Science and Technology
Course: Social Medicine and Health Management
Keywords: Tuberculosis Medical anti- cooperation Mode
CLC: R52
Type: Master's thesis
Year: 2011
Downloads: 48
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Abstract


Current Wuhan tuberculosis control medical anti-cooperation strategy Objective To study the implementation of the mode and methods of work; analysis of traditional tuberculosis control mode, the advantages and disadvantages of the new medical anti-cooperation mode and General Hospital, TB prevention and control professional institutions, the TB specialist hospitals, community health service agencies new medical anti-cooperation mode of the designated hospitals; effect evaluation of medical anti-cooperation strategy implementation, sustainability to improve TB prevention and control work performance and work to provide viable recommendations. Methods This study of empirical research and policy analysis approach, combined with the implementation model of qualitative and quantitative research on tuberculosis control medical anti-cooperation strategy and implementation effects described and evaluated, and to explore further on the basis of the analysis of TB situation key aspects and critical path of the medical defense cooperation, provide advice to improve the current medical anti-cooperative mode. A focus group to discuss the law and personal in-depth interview on tuberculosis control managers, medical staff interviews. 2. Collect 2009 Wuhan tuberculosis prevention and control professional institutions tuberculosis prevention and control statements and related working papers. The results 1. The medical anti cooperation strategy effectiveness characteristics (1) through the implementation of the medical anti-cooperation strategy, Wuhan formed district-level TB prevention agencies - hospitals, community health service centers, township hospitals - community health service stations three Tuberculosis village health network. (2) through direct reporting network system to develop an integrated hospital referral, medical anti-cooperation agencies to track cases of TB control mode has been established. Comprehensive medical institutions registered in the TB epidemic reporting and referral work to improve TB outbreaks have been reported rate of 98.8%, 98.8% referral rate to meet the requirements. (3) Wuhan also explore some new a medical defense cooperation mode. \(4) all the city's community / township have been tuberculosis the Community Steering therapy work, community (township) TB Steering management of quality has been further improved through the joint efforts of district TB control agencies and community (township), Division of Public Health. (5) TB treatment management information network developed the vertical extended to the community, the lateral dovetail with the specialist hospital information management system. (6) the TB Wuhan five rate of NTPs requirements and TB control achievements at the forefront of the country. (7) the establishment of a set of incentive systems and compensation mechanism of the prevention and control of TB, the network direct reporting and referral medical staff of medical institutions in place-reported disease reward steering subsidies given to carry out the the Community Steering therapy community (village) Doctors compensation, assume the designated hospitals for diagnosis and treatment of TB. (8) TB prevention and control of the allocation of funds in place, the full implementation of the free policy, improve the quality of taking anti-work. 2 the the the Medical Anti cooperation mode Problems and less than (1) General Hospital TB prevention and control work need to be strengthened, the poor relations of general hospitals and TB prevention agency functions, lack of effective communication mechanism. General Hospital of tuberculosis cases registered only 39.1% of patient information to fill in incomplete widespread, some hospitals still exist underreporting, late and drain turn phenomenon. (2) the majority community TB DuDaoShi hospital infection layout is non-standard, supervisors and more part-time task affect the quality of work, some of the community there are multi-drug resistant tuberculosis observed treatment of patients with non-standard phenomena exist. (3) the TB specialist hospital management issues have become increasingly prominent, its free policy coverage, referral of patients discharged from hospitals in place rate needs to be raised. (4) The residents of tuberculosis control agency knows and trust is still low, affecting the effective conduct of the pending anti-working. Conclusions (1) The medical anti-cooperation strategy of the three anti-TB network is fully established. (2) strengthen referral and tracking medical anti-cooperative mode to promote tuberculosis case detection has improved continuously. (3) A new medical anti-cooperation model achieved good results, but still need improvement. (4) community / township continuously improve the quality of the TB, but the TB DuDaoShi building needs to strengthen. (5) The development and improvement of TB treatment and management information network. (6) medical institutions work to improve TB control, TB outbreaks have been reported rate and referral rate to meet the requirements, but the urgent need to improve the patient registration. General Hospital continue to improve TB prevention and control, and to further strengthen the training to improve the awareness of the medical staff of the General Hospital lawful participation in the prevention and treatment of tuberculosis is recommended. Strengthen communication between the General Hospital and TB prevention agencies to improve the status quo of centralized management of the General Hospital in suburbs. Focused on solving the problem of tuberculosis specialist hospital management to further strengthen the institutions of the TB specialist hospital contact, gradually resolve the problem of low specialist hospital referral rates and referral in place. 3 TB prevention and control to improve community health service institutions to protect full-time community engaged in the prevention and treatment of tuberculosis, the number of rural physicians to improve the quality of TB the Steering therapy room construction. Actively promote designated hospitals mode, solve knot anti institutions and General Hospital coordination difficult, referral place the problem of low. 5. Emphasis on TB prevention and control institutions, in order to adapt to the current work of the TB situation. 6. Medical reform combined TB treatment costs included in the medical insurance, through the effective participation of the medical security system, further improve tuberculosis case detection level. Continue to strengthen training and increase the level of awareness of officers at all levels of the importance of prevention and treatment of tuberculosis and to carry out related work skills.

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CLC: > Medicine, health > Internal Medicine > TB
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