Tuberculosis detection and the challenges of integrated care in rural China: A cross-sectional standardized patient study.
Sean Y SylviaHao XueChengchao ZhouYaojiang ShiHongmei YiHuan ZhouScott RozelleMadhukar PaiJishnu DasPublished in: PLoS medicine (2017)
There were significant quality deficits among village clinics and township health centers in the management of a classic case of presumptive TB, with higher proportions of correct case management in county hospitals. Poor clinical performance does not arise only from a lack of knowledge, a phenomenon known as the "know-do" gap. Given significant deficits in quality of care, reforms encouraging first contact with lower tiers of the health system can improve efficiency only with concomitant improvements in appropriate management of presumptive TB patients in village clinics and township health centers.
Keyphrases
- healthcare
- mycobacterium tuberculosis
- quality improvement
- public health
- end stage renal disease
- traumatic brain injury
- primary care
- palliative care
- mental health
- chronic kidney disease
- ejection fraction
- newly diagnosed
- emergency department
- south africa
- peritoneal dialysis
- affordable care act
- patient reported outcomes
- climate change
- human immunodeficiency virus
- hiv aids
- real time pcr
- hepatitis c virus
- loop mediated isothermal amplification
- social media
- antiretroviral therapy