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首页> 美国卫生研究院文献>Journal of Clinical Tuberculosis and Other Mycobacterial Diseases >Quality of TB services assessment: The unique contribution of patient and provider perspectives in identifying and addressing gaps in the quality of TB services
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Quality of TB services assessment: The unique contribution of patient and provider perspectives in identifying and addressing gaps in the quality of TB services

机译：结核病服务质量评估：患者和提供者观点在识别和解决结核病服务质量差距方面的独特贡献

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Ambitious efforts to detect and treat tuberculosis (TB) are required to reduce the burden of disease in low resource settings, and the provision of high quality TB services is critical to reaching global TB targets. The quality of TB services assessment (QTSA) is a facility-based approach aimed at identifying gaps in TB services and prioritizing interventions to improve care across multiple countries with high TB burden. Randomly sampled facilities are assessed with standardized instruments to collect data on structures, processes, and outcomes of TB care, with adaption for local diagnostic and treatment algorithms. The sampling strategy is modified to ensure representation of all levels of the health system where TB services are provided, as well as inclusion of private sector or other facility types relevant to the context. Instruments include a facility audit, provider and patient interviews, and a review of TB registers. A recent QTSA in the Philippines generated important data on provider and patient perspectives on quality of care, showing that providers are more likely to report that they counseled current TB patients on key aspects of TB diagnosis and treatment than patients are to report having received the information. These comparisons highlight areas where refresher training or interpersonal communication and counseling skills may be needed.
机译：需要做出艰巨的努力来检测和治疗结核病，以减轻资源贫乏地区的疾病负担，而提供高质量的结核病服务对于实现全球结核病目标至关重要。结核病服务评估的质量（QTSA）是一种基于设施的方法，旨在发现结核病服务中的差距并确定干预措施的优先级，以改善多个结核病高负担国家的医疗服务。使用标准化工具评估随机抽样的设施，以收集有关结核病治疗的结构，过程和结果的数据，并适应当地的诊断和治疗算法。修改了采样策略，以确保代表提供结核病服务的卫生系统的各个层面，并包括与背景相关的私营部门或其他设施类型。文书包括设施审核，提供者和患者访谈以及对结核病登记簿的审查。菲律宾最近的QTSA收集了有关提供者和患者对医疗质量的观点的重要数据，表明提供者更有可能报告说，他们就结核病诊断和治疗的关键方面向当前的结核病患者提供咨询，而不是患者报告已收到信息。这些比较突出了可能需要进修培训或人际沟通和咨询技巧的领域。

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