چاپ صفحه |  صفحه نخست سامانه |  چکیده مقاله |  نویسندگان |  دانلود مقاله | دانشگاه علوم پزشکی تبریز |
| n viewpoint of world health organization, tuberculosis disease has to be noticed by individuals because tuberculosis, or TB, is an infectious bacterial disease and there would be symptoms of TB disease. These symptoms may last for several weeks. Without treatment, they usually get worse. It could be said that tuberculosis is one of the world's most lethal diseases. Moreover the public sector, the private sector is also the most important sector which presents the health services for TB patients, however presentation of the services in this centers are not favorable and this is due to some factors such as delay in diagnosis, incorrect use of anti-TB drugs, no follow up of defaulters and lack of maintaining records.[] A worldwide standard of TB care is required to be promoted among all health care providers, by which DOTS (Directly Observed Treatment Short course) is a strategy for the short-term treatment under direct supervision of tuberculosis disease. Through both quantitative and qualitative methods, this study was accomplished in five stages. The first stage was a Cross-sectional study of current TB situation in Tabriz, Iran in 2005, and also a comparative study of various PPM TB DOTS programs was accomplished in this stage in the worldwide. Stakeholder analysis and the analysis of 'Strengths', 'Weaknesses', 'Opportunities' and 'Threats' using qualitative directed content analysis method was accomplished in second and third stages. Recommended tools Presentation of a Management Practice with Public-Private Cooperation in TB-DOTS in Tabriz, Iran 330 for PPM TB DOTS to local situation were provided in fourth stage, finally a method 'eight steps in leading change' was provided for the fifth stage. Purposive sampling was provided for qualitative studies, by which through the Semi-structured interviews the data collection was provided, and finally the data were analyzed through the directed content analysis method. This paper is aimed to provide a comprehensive management program for public-private mix (PPM) in TB DOTS for effective case management of TB patients and reporting through a proper referral and information system in Tabriz, Iran. The observation about the Tuberculosis characteristics in Tabriz, Iran in 2005 showed that new smear positive case finding in Tabriz and East Azerbaijan province, Iran was 25% and 28.5%, respectively. Treatment success rate in Tabriz and East Azerbaijan province was 94.8% and 87%, respectively. 3.4% of new TB cases have been detected by public health network system and 96.6% by other health care providers. All PPM DOTS findings show that this program was lead to success in this disease treatment, by which the increase of case finding was observed as well. |
| نویسنده | نفر چندم مقاله |
|---|---|
| سعید پوردولتی | اول |
| احمد کوشا | دوم |
| سیمین خیاط زاده صفایی | سوم |
| مصطفی فرح بخش | چهارم |
| جعفر صادق تبریزی | پنجم |
| نام فایل | تاریخ درج فایل | اندازه فایل | دانلود |
|---|---|---|---|
| EJSR_109_02_11.pdf | 1398/09/13 | 184624 | دانلود |
