Yeats J R
S Afr Med J. 1986 Aug 30;70(5):265-6.
The attendance compliance records of 50 consecutive patients with pulmonary tuberculosis referred to clinics in a rural area for supervised short-course chemotherapy showed that clinics in the remote areas had a much lower compliance rate than those in the town. This appeared to be partly due to poor in-service training, lack of encouragement, low morale and poor motivation of health personnel. The lack of communication and co-ordination between health authorities has resulted in an inefficient and unassessed policy and programme in the treatment of tuberculosis in rural areas. The study showed that the tuberculosis treatment programme in this rural area lacks overall co-ordination and is inefficiently administered. As a result patients are not treated effectively.
对50例连续转诊至农村地区诊所接受短期督导化疗的肺结核患者的出勤依从性记录显示，偏远地区诊所的依从率远低于城镇诊所。这似乎部分归因于在职培训不足、缺乏激励、卫生人员士气低落和积极性不高。卫生当局之间缺乏沟通与协调，导致农村地区结核病治疗政策和项目效率低下且未得到评估。研究表明，该农村地区的结核病治疗项目缺乏全面协调，管理效率低下。结果，患者得不到有效治疗。
