错过医疗机构结核病筛查和检测机会的原因。

IF 1.3 Q4 RESPIRATORY SYSTEM

Public Health Action Pub Date : 2022-12-21 DOI:10.5588/pha.22.0042

L de Vos, E Mazinyo, D Bezuidenhout, N Ngcelwane, D S Mandell, S H Schriger, J Daniels, A Medina-Marino

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引用次数: 0

摘要

错过了在诊所进行结核病筛查和/或被动检测的机会，继续导致错过病例的数量增加。为了了解这些错失机会的原因，我们与诊所护士进行了焦点小组讨论。护士们将低怀疑指数、看似更紧急的疾病的优先顺序以及诊所运营挑战描述为结核病筛查和检测的障碍。为了改善诊所的结核病筛查和检测，应使用标准患者来识别影响护士临床决策的实时因素，并与护士进行实时反馈和讨论，以帮助优化结核病筛查和测试的机会。

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Reasons for missed opportunities to screen and test for TB in healthcare facilities.

Missed opportunities for TB screening and/or passive testing in clinics continues to contribute to the number of missed cases. To understand reasons for these missed opportunities, we conducted focus group discussions with clinic-based nurses. Nurses described low indices of suspicion, prioritization of seemingly more urgent ailments and clinic operational challenges as barriers to TB screening and testing. To improve TB screening and testing in clinics, standard patients should be used to identify real-time factors that impact nurses' clinical decision-making and engage in real-time feedback and discussion with nurses to help optimize opportunities for TB screening and testing.

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Public Health Action RESPIRATORY SYSTEM-

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期刊介绍： Launched on 1 May 2011, Public Health Action (PHA) is an official publication of the International Union Against Tuberculosis and Lung Disease (The Union). It is an open access, online journal available world-wide to physicians, health workers, researchers, professors, students and decision-makers, including public health centres, medical, university and pharmaceutical libraries, hospitals, clinics, foundations and institutions. PHA is a peer-reviewed scholarly journal that actively encourages, communicates and reports new knowledge, dialogue and controversy in health systems and services for people in vulnerable and resource-limited communities — all topics that reflect the mission of The Union, Health solutions for the poor.