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Zoekresultaten

Zoekopdracht: subjects: "Health and Nutrition"

TitelHow far are we from universal access to TB service in China? : barriers within health system in China which prevent TB patients from timely diagnosis under the background of health system transition  
AuteurK. Xia
InstellingKIT (Royal Tropical Institute)
AfdelingDevelopment Policy & Practice
OpleidingMaster of Public Health / International Course in Health Development (ICHD)
Jaar2008
Pagina's60
OrganisatieKIT - Royal Tropical Institute
OnderwerpHealth and Nutrition
Trefwoordendisease prevention and control, health services
RegioEast Asia
LandChina
SamenvattingOBJECTIVES: Identify barriers within health system in rural China which prevent patients from access to timely diagnosis of tuberculosis, especially pulmonary tuberculosis, under the background of current health system reform. METHODS: Data used in this thesis comes through literature review of published TB research reports, papers, policies, journal articles in English and Chinese, and personal experience from 3 years working in the Global Fund TB program office, national center for TB control. Some data come from unpublished reports. CONCLUSION AND RECOMMENDATION: In China village clinics, township hospitals, country hospitals and TB dispensaries are all the first line providers for TB patients. But for long time, TB dispensary is the only place for providing qualified and subsidized diagnosis service. The existing of unequal availability and affordability has become the barriers in terms of the utilization of service by patients. Policy for referring TB suspects from other health providers to NTP and bring diagnosis service to township hospital has been developed and implemented but lack of cost-effective analysis for those policies. New health insurance system has reduced the cost but impact on utilization is still not effective enough. Delay in diagnosis still exists. More systematic strategy is needed to improve the financial mechanism and involving more health providers towards universal access to timely diagnosis of TB.  
TaalEngels
CategorieResearch
Soort documentMaster thesis
Rechten© 2008 Xia
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