估计巴基斯坦私营医疗机构在结核病病例报告和治疗结果中的贡献。
Estimation of the contribution of private providers in tuberculosis case notification and treatment outcome in Pakistan.
机构信息
National TB Control Programme, Islamabad, Pakistan.
出版信息
East Mediterr Health J. 2013 Mar;19(3):213-8.
To improve involvement of the private sector in the national tuberculosis (TB) programme in Pakistan various public-private mix projects were set up between 2004 and 2009. A retrospective analysis of data was made to study 6 different public-private mix models for TB control in Pakistan and estimate the contribution of the various private providers to TB case notification and treatment outcome. The number of TB cases notified through the private sector increased significantly from 77 cases in 2004 to 37,656 in 2009. Among the models, the nongovernmental organization model made the greatest contribution to case notification (58.3%), followed by the hospital-based model (18.9%). Treatment success was highest for the district-led model (94.1%) and lowest for the hospital-based model (74.2%). The private sector made an important contribution to the national data through the various public-private mix projects. Issues of sustainability and the lack of treatment supporters are discussed as reasons for lack of success of some projects.
为提高私营部门参与巴基斯坦国家结核病(TB)规划的程度,2004 年至 2009 年期间设立了各种公私混合项目。对数据进行了回顾性分析,以研究巴基斯坦 6 种不同的公私混合结核病控制模式,并评估各种私营提供者对结核病病例报告和治疗结果的贡献。通过私营部门报告的结核病病例数量从 2004 年的 77 例显著增加到 2009 年的 37656 例。在这些模式中,非政府组织模式对病例报告的贡献最大(58.3%),其次是基于医院的模式(18.9%)。基于地区的模式的治疗成功率最高(94.1%),而基于医院的模式最低(74.2%)。私营部门通过各种公私混合项目为国家数据做出了重要贡献。讨论了可持续性问题和缺乏治疗支持者的问题,作为一些项目不成功的原因。