印度南部经分诊后转诊的重症结核病患者综合评估质量
Quality of comprehensive assessment among severely ill TB patients referred after triaging in southern India.
作者信息
Shewade H D, Frederick A, Kiran Pradeep S, Daniel Rajasekar T, Kiruthika G, Bhatnagar T, Suma K V, Ravichandran P, Gayathri K, Vijayaprabha R, Pathinathan D P, Chidambaram D, Sivagami K, Janani R K, Selvavinayagam T S, Ramachandran R, Murhekar M V
机构信息
ICMR-National Institute of Epidemiology (ICMR-NIE), Chennai.
State TB Cell, Government of Tamil Nadu, Chennai.
出版信息
Public Health Action. 2024 Mar 1;14(1):3-6. doi: 10.5588/pha.23.0051. eCollection 2024 Mar.
To reduce TB deaths, Tamil Nadu, a southern Indian state, implemented the first state-wide differentiated TB care strategy starting April 2022. Triage-positive severely ill patients are prioritised for comprehensive assessment and inpatient care. Routine program data during October-December 2022 revealed that documentation of total score after comprehensive assessment was available in only 39%, possibly indicating poor quality of comprehensive assessment. We confirmed this using operational research. The case record form to record comprehensive assessment was used only in 26% and among these, the completeness and correctness in filling out the form were sub-optimal. There is a clear need to enhance the quality of comprehensive assessments.
为减少结核病死亡人数，印度南部的泰米尔纳德邦从2022年4月起实施了首个全州范围的差异化结核病护理策略。对分诊呈阳性的重症患者优先进行全面评估和住院护理。2022年10月至12月期间的常规项目数据显示，只有39%的患者有全面评估后的总分记录，这可能表明全面评估的质量较差。我们通过运筹学证实了这一点。记录全面评估的病例记录表仅26%的情况下被使用，在这些使用的记录中，表格填写的完整性和正确性都不理想。显然有必要提高全面评估的质量。
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