Publication: Tuberculosis Detection and the Challenges of Integrated Care in Rural China: A Cross-Sectional Standardized Patient Study
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Published
2017-10-17
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Date
2018-02-06
Author(s)
Sylvia, Sean
Xue, Hao
Zhou, Chengchao
Shi, Yaojiang
Yi, Hongmei
Zhou, Huan
Rozelle, Scott
Pai, Madhukar
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Abstract
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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