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Am J Public Health ; 92(5): 826-9, 2002 May.
Artigo em Inglês | MEDLINE | ID: mdl-11988454

RESUMO

OBJECTIVES: This study sought to determine adherence of physicians to tuberculosis (TB) screening guidelines among foreign-born persons living in the United States who were applying for permanent residency. METHODS: Medical forms of applicants from 5 geographic areas were reviewed, along with information from a national physician database on attending physicians. Applicant and corresponding physician characteristics were compared among those who were and were not correctly screened. RESULTS: Of 5739 applicants eligible for screening via tuberculin skin test, 75% were appropriately screened. Except in San Diego, where 11% of the applicants received no screening, most of the inappropriate screening resulted from the use of chest x-rays as the initial screening tool. CONCLUSIONS: Focused physician education and periodic monitoring of adherence to screening guidelines are warranted.


Assuntos
Emigração e Imigração/legislação & jurisprudência , Fidelidade a Diretrizes/estatística & dados numéricos , Radiografia Pulmonar de Massa/estatística & dados numéricos , Prática de Saúde Pública/normas , Teste Tuberculínico/estatística & dados numéricos , Tuberculose/prevenção & controle , American Medical Association , California , Bases de Dados Factuais , Órgãos Governamentais , Humanos , Massachusetts , New York , Médicos/normas , Tuberculose/diagnóstico , Tuberculose/diagnóstico por imagem , Tuberculose/etnologia , Estados Unidos
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