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印度德里私立医疗部门的结核病通报：项目人员和私立医疗服务提供者面临的挑战

TB Notification from Private Health Sector in Delhi, India: Challenges Encountered by Programme Personnel and Private Health Care Providers.

作者信息

Satpati Mahasweta, Burugina Nagaraja Sharath, Shewade Hemant Deepak, Aslesh Prabhakaran Ottapura, Samuel Blesson, Khanna Ashwani, Chadha Sarabjit

机构信息

Population Services International (PSI), New Delhi, India.

ESIC Medical College and PGIMSR, Bangalore, India.

出版信息

Tuberc Res Treat. 2017;2017:6346892. doi: 10.1155/2017/6346892. Epub 2017 Aug 6.

DOI:10.1155/2017/6346892
PMID:28845306
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5563408/
Abstract

OBJECTIVE

To identify the challenges encountered by private health care providers (PHCP) to notify tuberculosis cases through a programme developed web-based portal mechanism called "NIKSHAY." . It is a descriptive qualitative study conducted at two revised national tuberculosis control programme (RNTCP) districts of New Delhi. The study included in-depth interviews of PHCP registered with "NIKSHAY" and RNTCP programme personnel. Grounded theory was used to conceptualise the latent social patterns in implementation of tuberculosis case notification process and promptly identifying their challenges.

RESULTS

The analysis resulted in identification of three broad themes: (a) system implementation by RNTCP: it emphasizes the TB notification process by the RNTCP programme personnel; (b) challenges faced by PHCP for TB notification with five different subthemes; and (c) perceived gaps and suggestions: to improvise the TB notification process for the private health sector. The challenges encountered by PHCP were mainly related to unsystematic planning and suboptimal implementation by programme personnel at the state and district level. The PHCP lacked clarity on the need for TB notification.

CONCLUSION

Implementation of TB notification among private health care providers requires systematic planning by the programme personnel. The process should be user-friendly with additional benefits to the patients.

摘要

目的

通过名为“尼凯什”的基于网络门户机制开发的项目，确定私立医疗服务提供者（PHCP）在报告结核病病例时遇到的挑战。这是一项在新德里两个修订后的国家结核病控制项目（RNTCP）地区开展的描述性定性研究。该研究包括对在“尼凯什”注册的私立医疗服务提供者和RNTCP项目人员进行深入访谈。扎根理论用于概念化结核病病例报告过程实施中的潜在社会模式，并及时识别其挑战。

结果

分析得出三个广泛的主题：（a）RNTCP的系统实施：强调RNTCP项目人员的结核病报告过程；（b）私立医疗服务提供者在结核病报告方面面临的挑战，有五个不同的子主题；（c）感知到的差距和建议：改进私立医疗部门的结核病报告过程。私立医疗服务提供者遇到的挑战主要与州和地区层面项目人员的规划不系统和实施不理想有关。私立医疗服务提供者对结核病报告的必要性缺乏清晰认识。

结论

私立医疗服务提供者中结核病报告的实施需要项目人员进行系统规划。该过程应方便用户使用，并给患者带来额外益处。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/610b/5563408/ea9e70c293ce/TRT2017-6346892.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/610b/5563408/43589f75acb4/TRT2017-6346892.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/610b/5563408/ea9e70c293ce/TRT2017-6346892.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/610b/5563408/43589f75acb4/TRT2017-6346892.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/610b/5563408/ea9e70c293ce/TRT2017-6346892.002.jpg

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