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印度瓜廖尔地区政府和私人执业医生关于结核病及印度国家结核病控制规划的知识、态度和实践的比较评估:一项运筹学研究

A comparative assessment of KAP regarding tuberculosis and RNTCP among government and private practitioners in District Gwalior, India: an operational research.

作者信息

Srivastava Dhiraj Kumar, Mishra Ashok, Mishra Subodh, Chouksey Mahendra, Jain Pankaj, Gour Neeraj, Bansal Manoj

机构信息

Department of Community Medicine, UP Rural Institute of Medical Sciences & Research, Saifai, Etawah, Uttar Pradesh.

出版信息

Indian J Tuberc. 2011 Oct;58(4):168-77.

Abstract

BACKGROUND

Tuberculosis is one of the oldest diseases known to mankind. However, still practitioners are unaware of various facts associated with it.

OBJECTIVES

(1) To assess the knowledge, attitude and practices adopted by practitioners of both government and private sectors in diagnosis and management of TB patients. (2) To assess the views of practitioners in strengthening the RNTCP programme.

METHODOLOGY

200 allopathic practitioners from both government and private sectors providing their services in Gwalior District were interviewed using pre-designed pre-tested structured questionnaire.

RESULTS

The mean score of knowledge related to tuberculosis and RNTCP was higher among government practitioners (9.8) compared to private practitioners (6.1). All practitioners were having positive attitude towards regular up gradation of knowledge while statistically significant differences were noted on issues related to management of TB patients as per RNTCP guidelines. X-ray was the most preferred modality for diagnosis and follow up among private practitioners compared to sputum examination among government practitioners. Referral of poor and serious patients was also very low among private practitioners.

CONCLUSION

The present study hereby concludes that there is a large gap in Knowledge, Attitude and Practices on TB and RNTCP among the practitioners of both the sectors. There is an urgent need for upgrading the knowledge on various issues and regular Continuing Medical Education (CME) involving various professional bodies.

摘要

背景

结核病是人类已知的最古老疾病之一。然而,从业者仍未了解与之相关的各种事实。

目的

(1)评估政府和私营部门从业者在结核病患者诊断和管理方面所采用的知识、态度和做法。(2)评估从业者对加强国家结核病控制规划(RNTCP)项目的看法。

方法

使用预先设计并经过预测试的结构化问卷,对瓜廖尔地区提供服务的200名政府和私营部门的对抗疗法从业者进行了访谈。

结果

与私营部门从业者(6.1分)相比,政府从业者中与结核病和国家结核病控制规划相关的知识平均得分更高(9.8分)。所有从业者对定期更新知识都持积极态度,但在按照国家结核病控制规划指南管理结核病患者的问题上,存在统计学上的显著差异。与政府从业者进行痰检相比,私营从业者中X线检查是诊断和随访中最常用的方式。私营从业者中贫困和重症患者的转诊率也很低。

结论

本研究据此得出结论,两个部门的从业者在结核病和国家结核病控制规划的知识、态度和做法方面存在很大差距。迫切需要更新关于各种问题的知识,并由各专业机构定期开展继续医学教育(CME)。

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