Preparedness of outpatient health facilities for ambulatory treatment with all-oral short DR-TB treatment regimens in Zhytomyr, Ukraine: a cross-sectional study.
Tinne GilsChinmay LaxmeshwarMarve DukaKhachatur MalakyanOlga Valentinovna SiomakVitaly Stephanovich DidikNatalia LytvynenkoYana TerleevaDmytri DonchukPetros IsaakidisPublished in: BMC health services research (2020)
Outpatient facilities in Zhytomyr oblast are not yet prepared to provide comprehensive care for DR-TB patients. Capacity of all facilities needs strengthening with trainings, infection control measures and infrastructure. Integration of psychosocial services, treatment of co-morbidities and adverse events at the same facility are essential for successful decentralisation. The health reform is an opportunity to establish quality, patient-centred care.
Keyphrases
- healthcare
- public health
- mental health
- end stage renal disease
- quality improvement
- chronic kidney disease
- newly diagnosed
- mycobacterium tuberculosis
- blood pressure
- ejection fraction
- combination therapy
- case report
- health information
- risk assessment
- health insurance
- replacement therapy
- affordable care act
- risk factors
- infectious diseases