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How far are we from universal access to TB service in China? : barriers within health system in China which prevent TB patients from timely diagnosis under the background of health system transition


Document type: mthesis
Download file(s): 185306 (1196 KB)
Abstract: OBJECTIVES: Identify barriers within health system in rural China which prevent patients from access to timely diagnosis of tuberculosis, especially pulmonary tuberculosis, under the background of current health system reform. METHODS: Data used in this thesis comes through literature review of published TB research reports, papers, policies, journal articles in English and Chinese, and personal experience from 3 years working in the Global Fund TB program office, national center for TB control. Some data come from unpublished reports. CONCLUSION AND RECOMMENDATION: In China village clinics, township hospitals, country hospitals and TB dispensaries are all the first line providers for TB patients. But for long time, TB dispensary is the only place for providing qualified and subsidized diagnosis service. The existing of unequal availability and affordability has become the barriers in terms of the utilization of service by patients. Policy for referring TB suspects from other health providers to NTP and bring diagnosis service to township hospital has been developed and implemented but lack of cost-effective analysis for those policies. New health insurance system has reduced the cost but impact on utilization is still not effective enough. Delay in diagnosis still exists. More systematic strategy is needed to improve the financial mechanism and involving more health providers towards universal access to timely diagnosis of TB.
Authors: Xia, K.
Country: China
Category: Research
Department: Development Policy & Practice
Institute: KIT (Royal Tropical Institute)
Keywords: disease prevention and control , health services
Language: eng
Organization: KIT - Royal Tropical Institute
PAGE: 60
Year: 2008
Region: East Asia
Right: © 2008 Xia
Subject: Health and Nutrition
Title: How far are we from universal access to TB service in China? : barriers within health system in China which prevent TB patients from timely diagnosis under the background of health system transition
Training: Master of Public Health / International Course in Health Development (ICHD)