Kurniawati Ari, Padmawati Retna S, Mahendradhata Yodi
Postgraduate Programme in Public Health, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.
Department of Health Behaviour, Environment, and Social Medicine, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.
BMC Res Notes. 2019 Aug 27;12(1):543. doi: 10.1186/s13104-019-4581-9.
Indonesia ranks second globally in the number of cases not reported to the National Tuberculosis Control Program, accounting for 11% of the total cases lost worldwide. In 2016, the Ministry of Health has issued Regulation Number 67 on tuberculosis control, which requires mandatory tuberculosis notification. We aimed to assess the prospective acceptability of mandatory tuberculosis notification among solo private practitioners and private primary care clinics in Yogyakarta.
Our study highlighted critical issues which need to be addressed in ensuring acceptability of mandatory tuberculosis case notification. We found that that private practitioners do not notify tuberculosis cases due to a lack of policy knowledge. Mandatory tuberculosis notification and its potential penalties were also felt as burdensome by private practitioners. There were ethical concerns among the private practitioners in our study about patient's privacy and patients potentially lost to other healthcare facility. Private practitioners emphasized the need for intervention coherence and cooperation. We also observed pattern variations of these constructs across characteristics of private practitioners.
在未向国家结核病控制项目报告的病例数量方面，印度尼西亚在全球排名第二，占全球未报告病例总数的11%。2016年，卫生部发布了关于结核病控制的第67号条例，要求强制报告结核病。我们旨在评估日惹市个体私人执业医生和私立基层医疗诊所对强制结核病报告的未来接受度。
我们的研究突出了在确保强制结核病病例报告可接受性方面需要解决的关键问题。我们发现，私人执业医生因缺乏政策知识而不报告结核病病例。私人执业医生也认为强制结核病报告及其潜在处罚是负担。我们研究中的私人执业医生对患者隐私以及患者可能流失到其他医疗机构存在伦理担忧。私人执业医生强调需要干预的连贯性与合作。我们还观察到这些因素在不同私人执业医生特征中的模式差异。
