ArticleGlobal health action2015
Barriers to hospital and tuberculosis programme collaboration in China: context matters.
Article in Global health action, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 20 citations in OpenAlex.
- Systems analysis and improvement approach to optimize tuberculosis (SAIA-TB) screening, treatment, and prevention in South Africa: a stepped-wedge cluster randomized trial.Implementation science communications · 2024Article
- Diagnostic delay, treatment duration and outcomes since the implementation of integrated model of tuberculosis control and their associated factors in a county in East China.BMC infectious diseases · 2023Article
- TB prevention cascade at a district hospital in rural Eastern Cape, South Africa.Public health action · 2021Article
- Delayed diagnosis of tuberculosis in patients with diabetes mellitus co-morbidity and its associated factors in Zhejiang Province, China.BMC infectious diseases · 2021Article
- Patients and Medical Staff Attitudes Toward the Future Inclusion of eHealth in Tuberculosis Management: Perspectives From Six Countries Evaluated using a Qualitative Framework.JMIR mHealth and uHealth · 2020Article
- Through service providers' eyes: health systems factors affecting implementation of tuberculosis control in Enugu State, South-Eastern Nigeria.BMC infectious diseases · 2020Article
- Over- and under-treatment of TB patients in Eastern China: an analysis based on health insurance claims data.Tropical medicine & international health : TM & IH · 2019Article
- Tuberculosis treatment outcome: The case of women in Ethiopia and China, ten-years retrospective cohort study.PloS one · 2019Observational
- Patient characteristics and perceived health status of individuals with HIV and tuberculosis coinfection in Guangxi, China.Medicine · 2017Observational
- Integrated health service delivery networks and tuberculosis avoidable hospitalizations: is there a relation between them in Brazil?BMC health services research · 2016Article
- Use of anti-tuberculosis drugs among newly diagnosed pulmonary tuberculosis inpatients in China: a retrospective study.Infectious diseases of poverty · 2016Article
- Factors that associated with TB patient admission rate and TB inpatient service cost: a cross-sectional study in China.Infectious diseases of poverty · 2016Article
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn many developing countries, programmes for 'diseases of social importance', such as tuberculosis (TB), have traditionally been organised as vertical services. In most of China, general hospitals are required to report and refer suspected TB cases to the TB programme for standardised diagnosis and treatment. General hospitals are the major contacts of health services for the TB patients. Despite the implementation of public-public/private mix, directly observed treatment, short-course, TB reporting and referral still remain a challenge.
objectiveThis study aims to identify barriers to the collaboration between the TB programme and general hospitals in China.
designThis is a qualitative study conducted in two purposefully selected counties in China: one in Zhejiang, a more affluent eastern province, and another in Guangxi, a poorer southwest province. Sixteen in-depth interviews were conducted and triangulated with document review and field notes. An open systems perspective, which views organisations as social systems, was adopted.
resultsThe most perceived problem appeared to be untimely reporting and referral associated with non-standardised prescriptions and hospitalisation by the general hospitals. These problems could be due to the financial incentives of the general hospitals, poor supervision from the TB programme to general hospitals, and lack of technical support from the TB programme to the general hospitals. However, contextual factors, such as different funding natures of different organisations, the prevalent medical and relationship cultures, and limited TB funding, could constrain the processes of collaboration between the TB programme and the general hospitals.
conclusionsThe challenges in the TB programme and general hospital collaboration are rooted in the context. Improving collaboration should reduce the potential mistrust of the two organisations by aligning their interests, improving training, and improving supervision of TB control in the hospitals. In particular, effective regulatory mechanisms are crucial to alleviate the negative impact of the contextual factors and ensure smooth collaboration.
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