标题:Patient care pathways under the model of integrating tuberculosis service with general hospitals in China
作者:Wei,X.;Yin,J.;Zou,G.;Walley,J.;Zhong,J.;Chen,S.;Sun,Q.;Wang,X.
作者机构:[Wei, X] Chinese University of Hong Kong, HK, China, Shenzhen Municipal Key Laboratory for Health Risk Analysis, Shenzhen Research Institute of The Ch 更多
通讯作者:Wang, XM
通讯作者地址:[Wang, XM]Zhejiang Ctr Dis Control & Prevent, TB Program, 630 Xincheng Rd, Hangzhou 310051, Zhejiang, Peoples R China.
来源:Tropical Medicine and International Health: TM and IH
出版年:2013
卷:18
期:11
页码:1392-1399
DOI:10.1111/tmi.12197
关键词:China;Integrated model;Patient care pathways;Tuberculosis
摘要:Objective: To report care pathways of tuberculosis (TB) patients under the integrated model, where TB clinical service is provided by a general hospital instead of the TB dispensary, with the aim of providing policy recommendations for TB care reforms in China. Methods: Six counties implementing the integrated model were randomly selected, and 50 TB patients in each county participated in a questionnaire survey. Results: Of the 301 participants, 82 visited only the TB designated hospital. A patient visited a median of two health providers in total. The median external provider delay and internal provider delay were 1 and 0 day, respectively. The median out-of-pocket medical costs were US$379 in total; US$293 in the TB units and US$0 in other health units in the TB designated hospital. Logistic regression analyses suggested that patients who visited the primary care facilities first tended to have longer external delays (OR = 5.71) than patients who visited the other hospitals (OR = 10.16). Conclusion: The integrated model is promising as it reported relatively fewer patient pathways and shorter delays than the dispensary model. However, the integrated model did not reduce patient out-of-pocket costs.
收录类别:SCOPUS;SCIE
WOS核心被引频次:3
Scopus被引频次:3
资源类型:期刊论文
原文链接:https://www.scopus.com/inward/record.uri?eid=2-s2.0-84886262511&doi=10.1111%2ftmi.12197&partnerID=40&md5=64a95b2e9ad986d28e2aa968ab1e6767
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