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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Ways and Means to Utilize Private Practitioners for Tuberculosis Care in India
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Ways and Means to Utilize Private Practitioners for Tuberculosis Care in India

机译：在印度利用私人执业医师进行结核病护理的方式方法

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The growing interest of utilizing the private practitioners (PPs) in improving the outreach of public health services including Tuberculosis (TB) control programme stemmed out of people?s preference for private health facilities in situations where public health facilities fail to meet the expectations. In different parts of India, many models of Public Private Partnership have been tried and tested and proved successful in providing quality TB care in the concerned community. In this paper, several ways and means have been proposed to effectively utilize private practitioners for TB care in India. These strategies are discussed under different headings: (1) identification of potential Private practitioners: (2) orientation of Private practitioners: (3) networking of Private practitioners with patients and Directly Observed Treatment Short course (DOTS) provider: (4) follow-up and sensitization of patients by Private practitioners: (5) let the word of mouth work: and (6) evaluation of the involvement of Private practitioners in TB care. The following points must be addressed before utilizing the Private practitioners for TB care: time constraints in notifying the disease, adherence to DOTS regime/alternative to DOTS regime, referral of patients to public health facilities for diagnosis and treatment, follow-up and sensitization of the patients and behaviour change communication and awareness in the community by the Private practitioners. Few of these are mandatory for the Private practitioners; most are practicable. With the effective utilization of Private practitioners many problems can be sorted out that are currently plaguing the system such as irrational and excessive use of certain drugs, over reliance on chest X-ray for diagnosis, under use of sputum microscopy, lack of knowledge regarding standard treatment protocols and varied prescription practices.
机译：利用公共从业人员（PPs）来改善包括结核病（TB）控制计划在内的公共卫生服务的兴趣日益浓厚，是由于人们在公共卫生设施无法满足期望的情况下偏爱私人卫生设施。在印度的不同地区，已经尝试并测试了许多公私合作模式，并证明在相关社区提供优质的结核病护理成功。在本文中，已经提出了几种方法和手段来有效地利用私人医生在印度进行结核病护理。这些策略将在不同的标题下进行讨论：（1）确定潜在的私人执业医师：（2）私人执业医师的方向：（3）私人执业医师与患者和直接观察治疗短期课程（DOTS）提供者的联网：（4）遵循以下原则：提高私人医生对患者的认识：（5）口口相传：（6）评估私人医生在结核病护理中的参与度。在聘请私人执业医师进行结核病护理之前，必须注意以下几点：通知疾病的时间限制，遵守DOTS方案/替代DOTS方案，将患者转诊至公共卫生机构进行诊断和治疗，对患者进行随访和宣传患者和行为改变了私人执业者在社区中的沟通和意识。这些对私人执业者来说是强制性的;大多数是可行的。随着私人执业医生的有效利用，可以解决当前困扰该系统的许多问题，例如不合理和过度使用某些药物，过度依赖胸部X射线进行诊断，使用痰镜检查，缺乏有关标准的知识治疗方案和各种处方做法。

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