Dara M, Sulis G, Centis R, D'Ambrosio L, de Vries G, Douglas P, Garcia D, Jansen N, Zuroweste E, Migliori G B
World Health Organization (WHO) Regional Office for Europe, Copenhagen, Denmark.
University Division of Infectious and Tropical Diseases, Spedali Civili Hospital, Brescia.
Int J Tuberc Lung Dis. 2017 Jul 1;21(7):727-736. doi: 10.5588/ijtld.16.0940.
As tuberculosis (TB) spreads beyond borders with people movements, several interventions ensuring the continuity of care are essential, although difficult to put in place in the absence of well-defined agreements allowing data sharing and easy referral of patients to appropriate health facilities. This article first sets out general principles for cross-border collaboration and continuity of care. It then presents a series of case studies. Policies and practices on cross-border collaboration in selected low-incidence countries (Australia, Italy, Norway, The Netherlands, the United Kingdom and the United States) are described and critically appraised. Details of the World Health Organization's (WHO's) European Respiratory Society TB Consilium for transborder migration and those of the Health Network's TBNet activities are described. With increasing population movement, including migrants and travellers, it is time to build on good practices and existing tools and to remove legal, financial and social barriers to ensure early diagnosis, full treatment and continuity of care across our world. Data sharing between the sending and the receiving countries is of utmost importance and must be conducted in line with privacy protection rules. Successful implementation of these interventions is key to being on track with the WHO's End TB strategy targets for 2030.
随着结核病（TB）随着人员流动跨越国界传播，一些确保医疗服务连续性的干预措施至关重要，尽管在缺乏允许数据共享以及患者轻松转诊至合适医疗机构的明确协议的情况下，这些措施难以实施。本文首先阐述跨境合作及医疗服务连续性的一般原则。接着呈现一系列案例研究。描述并批判性评估了部分低发病率国家（澳大利亚、意大利、挪威、荷兰、英国和美国）的跨境合作政策与实践。介绍了世界卫生组织（WHO）欧洲呼吸学会结核病跨境移民咨询委员会以及健康网络的结核病网络活动的详细情况。随着包括移民和旅行者在内的人口流动增加，现在是时候借鉴良好做法和现有工具，并消除法律、财务和社会障碍，以确保在全球范围内实现早期诊断、全程治疗及医疗服务的连续性。发送国和接收国之间的数据共享至关重要，且必须按照隐私保护规则进行。成功实施这些干预措施是实现世界卫生组织2030年终结结核病战略目标的关键。
