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首页> 外文期刊>Asia-Pacific journal of public health >Engaging General Practitioners in Public-Private Mix Tuberculosis DOTS Program in an Urban Area in Pakistan: Need for Context-Specific Approach
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Engaging General Practitioners in Public-Private Mix Tuberculosis DOTS Program in an Urban Area in Pakistan: Need for Context-Specific Approach

机译：在巴基斯坦市区的公共私人混合结核点计划中参与公共私人混合结核点计划：需要采用上下文的方法

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摘要

A public-private mix tuberculosis (TB) DOTS project was implemented to enhance coverage and collaboration between the public and private sectors, with an objective to increase case detection and to improve TB case management in a large urban area. General practitioners (GPs) were trained to provide DOTS services. Patients were diagnosed and treated as per national guidelines and outcomes were reported to national TB control program. Treatment and sputum microscopy were provided free of cost. A total of 94 GPs were trained. In all, 57.4% of trained GPs remained actively involved in the project. Overall treatment success rate of the patients enrolled with the project was 86.3% with 8.7% default patients. Experience suggests that a more stringent selection criteria need to be followed for inclusion of GPs in the program to improve the success of the program. A multifaceted context specific approach is needed while working with private health care providers.
机译：实施了私人混合结核病（TB）DOTS项目，以加强公共和私营部门之间的覆盖率和合作，目的是提高案例检测，并改善大城区的结核病案例管理。 培训普通从业者（GPS）培训以提供DOTS服务。 根据国家结核病控制计划报告患者根据国家准则和结果诊断和治疗。 无需成本提供处理和痰显微镜。 培训共有94个GPS。 总之，57.4％的训练有素的GPS仍然积极参与该项目。 患有该项目的患者的整体治疗成功率为86.3％，默认患者8.7％。 经验表明，需要遵守更严格的选择标准，以便包含在程序中的GPS，以提高程序的成功。 在使用私人医疗保健提供者的同时需要多方面的上下文特定方法。

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