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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 Das
Published 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.
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