Tuberculosis Detection and the Challenges of Integrated Care in Rural China

Despite recent reductions in prevalence, China still faces a substantial tuberculosis (TB) burden, with future progress dependent on the ability of rural providers to appropriately detect and refer TB patients for further care. This study (a) provides a baseline assessment of the ability of rural providers to correctly manage presumptive TB cases; (b) measures the gap between provider knowledge and practice and; (c) evaluates how ongoing reforms of China’s health system—characterized by a movement toward “integrated care” and promotion of initial contact with grassroots providers—will affect the care of TB patients.

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Bibliographic Details
Main Authors: Sylvia, Sean, Xue, Hao, Zhou, Chengchao, Shi, Yaojiang, Yi, Hongmei, Zhou, Huan, Rozelle, Scott, Pai, Madhukar, Das, Jishnu
Format: Journal Article biblioteca
Published: PLoS 2017-10-17
Subjects:TUBERCULOSIS, DIAGNOSIS, ANTIBIOTICS, HEALTH SERVICES, HEALTH POLICY, HEALTH SYSTEM REFORM,
Online Access:http://hdl.handle.net/10986/29325
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Summary:Despite recent reductions in prevalence, China still faces a substantial tuberculosis (TB) burden, with future progress dependent on the ability of rural providers to appropriately detect and refer TB patients for further care. This study (a) provides a baseline assessment of the ability of rural providers to correctly manage presumptive TB cases; (b) measures the gap between provider knowledge and practice and; (c) evaluates how ongoing reforms of China’s health system—characterized by a movement toward “integrated care” and promotion of initial contact with grassroots providers—will affect the care of TB patients.