Raising standards in UK TB control: introducing cohort review
Raising standards in UK TB control: introducing cohort review
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DOI：
10.1136/thoraxjnl-2013-203751
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发表时间：
2014-02-01
期刊：
影响因子：
10
通讯作者：
Dart, Susan
中科院分区：
文献类型：
--
作者：
Anderson, Charlotte;White, Jacqueline;Dart, Susan
国际上一直采用队列审查来支持结核病控制。我们描述了它的第一次使用在英国的伦敦结核病服务。注意到在病例管理和接触者追踪方面有所改进，查明了薄弱环节，并对服务作出了重要改变。产生影响的主要领域是提供直接观察治疗（提供直接观察治疗的病例比例更高，并且由于资源利用率低，转而设立负责以患者为中心的直接观察治疗的职位）和接触者追踪（筛查和评估的每个病例有更多的接触者）。队列审查使整个系统的审查和改进。随后，它在英国各地被采用。
Cohort review has been used internationally to support tuberculosis (TB) control. We describe its first use in the UK by a London TB service. Improvements were noted in case management and contact tracing, weaknesses identified and important service changes put in place. Key areas of impact were directly observed therapy (DOT) provision (a greater proportion of cases offered DOT, and in response to low uptake resources diverted to create posts responsible for patient-centred DOT delivery), and contact tracing (more contacts per case screened and assessed). Cohort review enables whole system review and improvement. It has subsequently been adopted across the UK.