Tuberculosis Detection and the Challenges of Integrated Care in Rural China

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PLoS

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Despite recent reductions in prevalence, China still faces a substantial tuberculosis (TB) burden, with future progress dependent on the ability of rural providers to appropriately detect and refer TB patients for further care. This study (a) provides a baseline assessment of the ability of rural providers to correctly manage presumptive TB cases; (b) measures the gap between provider knowledge and practice and; (c) evaluates how ongoing reforms of China’s health system—characterized by a movement toward “integrated care” and promotion of initial contact with grassroots providers—will affect the care of TB patients.

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TUBERCULOSIS, DIAGNOSIS, ANTIBIOTICS, HEALTH SERVICES, HEALTH POLICY, HEALTH SYSTEM REFORM

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