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Factors influencing integration of TB services in general hospitals in two regions of China: a qualitative study.

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  • المؤلفون: Zou G;Zou G; Wei X; Walley JD; Yin J; Sun Q
  • المصدر:
    BMC health services research [BMC Health Serv Res] 2012 Jan 25; Vol. 12, pp. 21. Date of Electronic Publication: 2012 Jan 25.
  • نوع النشر :
    Journal Article; Research Support, Non-U.S. Gov't
  • اللغة:
    English
  • معلومة اضافية
    • المصدر:
      Publisher: BioMed Central Country of Publication: England NLM ID: 101088677 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6963 (Electronic) Linking ISSN: 14726963 NLM ISO Abbreviation: BMC Health Serv Res Subsets: MEDLINE
    • بيانات النشر:
      Original Publication: London : BioMed Central, [2001-
    • الموضوع:
      Delivery of Health Care, Integrated/*organization & administration ; Tuberculosis/*therapy; China ; Female ; Hospitals, General ; Humans ; Interviews as Topic ; Male ; Qualitative Research ; Tuberculosis/prevention & control
    • نبذة مختصرة :
      Background: In the majority of China, the Centre for Disease Control (CDC) at the county level provides both clinical and public health care for TB cases, with hospitals and other health facilities referring suspected TB cases to the CDC. In recent years, an integrated model has emerged, where the CDC remains the basic management unit for TB control, while a general hospital is designated to provide clinical care for TB patients. This study aims to explore the factors that influence the integration of TB services in general hospitals and generate knowledge to aid the scale-up of integration of TB services in China.
      Methods: This study adopted a qualitative approach using interviews from sites in East and West China. Analysis was conducted using a thematic framework approach.
      Results: The more prosperous site in East China was more coordinated and thus had a better method of resource allocation and more patient-orientated service, compared with the poorer site in the West. The development of public health organizations appeared to influence how effectively integration occurred. An understanding from staff that hospitals had better capacity to treat TB patients than CDCs was a strong rationale for integration. However, the economic and political interests might act as a barrier to effective integration. Both sites shared the same challenges of attracting and retaining a skilled workforce for the TB services. The role of the health bureau was more directive in the Western site, while a more participatory and collaborative approach was adopted in the Eastern site.
      Conclusion: The process of integration identifies similarities and differences between sites in more affluent East China and poorer West China. Integration of TB services in the hospitals needs to address the challenges of stakeholder motivations and resource allocation. Effective inter-organizational collaboration could help to improve the efficiency and quality of TB service.
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    • الموضوع:
      Date Created: 20120127 Date Completed: 20120905 Latest Revision: 20240321
    • الموضوع:
      20240321
    • الرقم المعرف:
      PMC3349562
    • الرقم المعرف:
      10.1186/1472-6963-12-21
    • الرقم المعرف:
      22276746