私人医生对修订后的国家结核病控制计划的了解--印度哈里亚纳邦的一项横断面研究。

Jai Pal Majra, Vijay Kumar Silan, Gaurav Kamboj
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引用次数: 0

摘要

背景:印度的目标是到 2025 年根除结核病(TB),这就要求所有利益相关者(包括私营和公共部门)参与结核病计划的各个阶段--从诊断到治疗结果。然而,某些私人执业医师追求个性化的方法,而不是采取集体战略,从而导致了耐多药结核病的出现。因此,为了制定强化策略,促进所有合作伙伴之间的合作和职业行为改变,必须全面评估他们的知识水平。本研究旨在评估私人执业医师在修订后的国家结核病控制计划(RNTCP)框架内对肺结核病例诊断和管理的知识水平:对印度哈里亚纳邦索内帕特地区七个城镇的 78 名私人执业医师进行了描述性横断面研究。该研究获得了哈里亚纳邦索内帕特 Bhagat Phool Singh 政府女子医学院伦理委员会的批准。数据收集采用自填、预先测试的半结构化问卷。采用比例和百分比进行描述性分析:结果:发现私人开业医生对结核病和 RNTCP 的集体认识不足。约有三分之一的开业医生表示,他们没有接待过任何与 RNTCP 相关的卫生工作者来访。仅有 33% 的从业人员参加过继续医学教育 (CME) 课程,只有四分之一的参与者表示有意与 RNTCP 计划合作:总之,本研究强调了 RNTCP 必须重视培养私人执业医师参与计划的意愿,同时加强他们对结核病和 RNTCP 的了解。
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Knowledge of Private Practitioners Regarding Revised National Tuberculosis Control Program- A Cross-Sectional Study from the Haryana state of India.

Background: India's aim to achieve tuberculosis (TB) eradication by 2025 necessitates the engagement of all stakeholders, encompassing both private and public sectors, across all phases of the TB program - spanning from diagnosis to the curative outcome. However, certain private practitioners pursue an individualized approach instead of adopting a collective strategy, thereby contributing to the emergence of multidrug-resistant tuberculosis. Consequently, in order to formulate an enhanced strategy that fosters improved collaboration and professional behavioral change among all partners, it is imperative to comprehensively assess their level of knowledge. This study aims to assess the knowledge level of private practitioners with regard to the diagnosis and management of pulmonary tuberculosis cases within the framework of the Revised National Tuberculosis Control Program (RNTCP).

Methodology: A descriptive cross-sectional study was conducted among 78 selected private practitioners located in seven towns within the Sonepat district of Haryana State, India. The study was approved by the ethics committee of Bhagat Phool Singh Government Medical College for Women, Sonepat, Haryana. Data collection involved the utilization of a self-administered, pre-tested, semi-structured questionnaire. Descriptive analysis was applied, utilizing proportions and percentages.

Results: The collective understanding of private practitioners concerning Tuberculosis and RNTCP was found to be deficient. Around one-third of the practitioners reported that they had not received any visits from health workers in relation to RNTCP. A mere 33% of the practitioners had attended any Continuing Medical Education (CME) sessions, and only a quarter of the participants expressed an intention to collaborate with the RNTCP program.

Conclusions: In conclusion, this study underscores the necessity for RNTCP to focus on fostering the willingness of private practitioners to engage with the program, while simultaneously enhancing their knowledge about Tuberculosis and RNTCP.

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