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    Patient care pathways under the model of integrating tuberculosis service with general hospitals in China

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    eResearch%203287.pdf (85.56Kb)
    Date
    2013-10
    Author
    Wei, X.
    Yin, J.
    Zou, Guanyang
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    Citation
    Wei, X., Yin, J. & Zou, G. (2013) Patient care pathways under the model of integrating tuberculosis service with general hospitals in China, Tropical medicine and international health, vol. 18, , pp. 1392-1399,
    Abstract
    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. 2013 John Wiley & Sons Ltd.
     
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    Official URL
    http://dx.doi.org/10.1111/tmi.12197
    URI
    https://eresearch.qmu.ac.uk/handle/20.500.12289/3287
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