Joining the DOTS in Bali: private practitioners' perceptions of tuberculosis control.
Joining the DOTS in Bali: private practitioners' perceptions of tuberculosis control.
复制标题
加入巴厘岛 DOTS：私人医生对结核病控制的看法。
DOI：
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复制
发表时间：
2006
期刊：
影响因子：
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通讯作者：
A. Plant
中科院分区：
文献类型：
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作者：
R. Watkins;K. Feeney;O. A. Bakar;A. Plant
设置
SETTING
The Indonesian island of Bali has both a national public tuberculosis (TB) programme and a significant private sector that provides treatment for patients with TB.
OBJECTIVE
To explore private practitioners' perceptions of barriers to the treatment of patients with TB in Bali to inform strategies for future programme development.
DESIGN
Semi-structured interviews were conducted with private practitioners who treated TB patients in their private practice.
RESULTS
The main barriers to improved TB control in Bali identified by private practitioners reflect difficulties encountered within the following four areas: patient nonadherence to treatment, limitations of public services, public-private integration and limitations of private services. Private practitioners identified the need for improvements in the level of community education regarding TB, the degree of public-private interaction, the quality of diagnostic services and practitioner access to training.
CONCLUSION
This study identified both strengths and weaknesses for TB control in the private sector, as well as considerable variations in perceptions and practice among private practitioners. The development of strategies to address these difficulties and utilise the inherent strengths of both public and private practitioners will be essential for improved service provision and TB control in Bali.