文章基本信息

标题：TUBERCULOSIS NOTIFICATION BY PRIVATE SECTOR’ PHYSICIANS IN TEHRAN
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作者：AHMADI AYAT ; NEDJAT SAHARNAZ ; GHOLAMI JALEH 等
期刊名称：INTERNATIONAL JOURNAL OF PREVENTIVE MEDICINE
印刷版ISSN：2008-7802
出版年度：2015
卷号：6
期号：-
页码：0-0
语种：English
出版社：ISFAHAN UNIVERSITY OF MEDICAL SCIENCES
摘要：Background: A small proportion of physicians adhere to tuberculosis (TB) notification regulations, particularly in the private sector. In most developing countries, the private sector has dominanceover delivering services in big cities. In such circumstances deviation from the TB treatmentprotocol is frequently happening. This study sought to estimate TB notification in the privatesector and settle on determinants of TB notification by private sector physicians.
Methods: A population?based study has been conducted; private physicians at their clinics wereinterviewed. The total number of 443 private sectors’ physicians has been chosen by the stratifiedrandom sampling method. Appropriate descriptive analysis was used to describe the study’sparticipants. Logistic regression was used for bivariable and multivariable analysis.
Results: The response rate of the study was 90.06 (399%). Among responders, who had statedthat they were suspicious of TB over the recent year, 62 (16.45%) stated that they reported casesof TB at least once during the same period. Having reporting requirements and the numberof visited patients was significantly related to TB suspicious (odds ratio=2.84, confidenceinterval: 1.62–5, P Conclusions: In poor resource settings with a high burden of TB, the public health administrationcan promote notification activities in the private sector by simple and quick interventions. It seemsthat a considerable fraction of private sector physicians, not all of them, will notify TB if they areprovided with primary information and primary resources. To optimize the TB notification, however, intersectoral interventions are more likely to be successful.
关键词：MANDATORY REPORTING; PRIVATE PRACTICE; PUBLIC HEALTH