About: Factors influencing integration of TB services in general hospitals in two regions of China: a qualitative study

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	Factors influencing integration of TB services in general hospitals in two regions of China: a qualitative study
Creator	Sun, Qiang Walley, John Wei, Xiaolin Yin, Jia Zou, Guanyang
topic	covid:31f33e2c73a467477e3a4a72e6ee128703946fe5#this
source	Medline; PMC
abstract	BACKGROUND: In the majority of China, the Centre for Disease Control (CDC) at the county level provides both clinical and public health care for TB cases, with hospitals and other health facilities referring suspected TB cases to the CDC. In recent years, an integrated model has emerged, where the CDC remains the basic management unit for TB control, while a general hospital is designated to provide clinical care for TB patients. This study aims to explore the factors that influence the integration of TB services in general hospitals and generate knowledge to aid the scale-up of integration of TB services in China. METHODS: This study adopted a qualitative approach using interviews from sites in East and West China. Analysis was conducted using a thematic framework approach. RESULTS: The more prosperous site in East China was more coordinated and thus had a better method of resource allocation and more patient-orientated service, compared with the poorer site in the West. The development of public health organizations appeared to influence how effectively integration occurred. An understanding from staff that hospitals had better capacity to treat TB patients than CDCs was a strong rationale for integration. However, the economic and political interests might act as a barrier to effective integration. Both sites shared the same challenges of attracting and retaining a skilled workforce for the TB services. The role of the health bureau was more directive in the Western site, while a more participatory and collaborative approach was adopted in the Eastern site. CONCLUSION: The process of integration identifies similarities and differences between sites in more affluent East China and poorer West China. Integration of TB services in the hospitals needs to address the challenges of stakeholder motivations and resource allocation. Effective inter-organizational collaboration could help to improve the efficiency and quality of TB service. Key words: TB control, service delivery, integration, hospitals, China.
has issue date	2012-01-25(xsd:dateTime)
bibo:doi	10.1186/1472-6963-12-21
bibo:pmid	22276746
has license	cc-by
sha1sum (hex)	31f33e2c73a467477e3a4a72e6ee128703946fe5
schema:url	https://doi.org/10.1186/1472-6963-12-21
resource representing a document's title	Factors influencing integration of TB services in general hospitals in two regions of China: a qualitative study
has PubMed Central identifier	PMC3349562
has PubMed identifier	22276746
schema:publication	BMC Health Serv Res
resource representing a document's body	covid:31f33e2c73a467477e3a4a72e6ee128703946fe5#body_text
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