Implementing a "free" tuberculosis (TB) care policy under the integrated model in Jiangsu, China: practices and costs in the real world

Infectious Diseases of Poverty
Xinxin JiaShenglan Tang

Abstract

In the 1990s, China introduced a "free" tuberculosis (TB) care policy under the national TB control program. Recently, as a part of a new TB diagnosis and treatment model, it has been recommended that the integrated model scale up. This paper examines whether or not TB designated hospitals in the selected project sites have provided TB care according to the national and local guidelines, and analyzes the actual practices and expenditures involved in completing TB treatment. It also explores the reasons why "free" TB care in China cannot be effectively implemented under the integrated model. This study was conducted in three counties of Zhenjiang city, Jiangsu province. Mixed methods were used, which comprised reviewing the national and local TB control guidelines, conducting TB patient surveys, collecting TB inpatient and outpatient hospital records, and conducting qualitative interviews with stakeholders. Descriptive statistics were used for quantitative data analysis across counties and in order to compare patients who received only outpatient care and those who received both outpatient and inpatient care. The chi-square test and analysis of variance were performed where necessary. Qualitative data were analyzed using the fra...Continue Reading

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Citations

Jan 30, 2016·Infectious Diseases of Poverty·Shenglan TangDaniel P Chin
Dec 16, 2016·Parasitology·Y TaslimiS Rafati
Jul 13, 2019·Tropical Medicine & International Health : TM & IH·Wenhui MaoShenglan Tang
Sep 6, 2020·BMC Health Services Research·Liping LuChongguang Yang
Oct 13, 2018·Scientific Reports·Ruixia YuanShigui Ruan
Apr 25, 2020·Infectious Diseases of Poverty·Xinyu FengXiao-Nong Zhou
Jul 7, 2017·Infectious Diseases of Poverty·Benyun ShiXiao-Nong Zhou
Oct 20, 2019·Respiratory Research·Wan-Mei SongHuai-Chen Li
Sep 30, 2020·Current Pathobiology Reports·Adrianne L JennerMorgan Craig

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Methods Mentioned

BETA
X-ray

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