Ambulatory tuberculosis treatment in post-Semashko health care systems needs supportive financing mechanisms.
Int J Tuberc Lung Dis
; 18(12): 1390-5, 2014 Dec.
Article
em En
| MEDLINE
| ID: mdl-25517802
ABSTRACT
The tuberculosis (TB) control strategy in the Republic of Karakalpakstan, Uzbekistan, is being changed to decentralised out-patient care for most TB patients by the Government of Uzbekistan, in collaboration with the international medical humanitarian organisation Médecins Sans Frontières. Ambulatory treatment of both drug-susceptible and drug-resistant TB from the first day of treatment has been recommended since 2011. Out-patient treatment of TB from the beginning of treatment was previously prohibited. However, the current Uzbek health financing system, which evolved from the Soviet Semashko model, offers incentives that work against the adoption of ambulatory TB treatment. Based on the 'Comprehensive TB Care for All' programme implemented in Karakalpakstan, we describe how existing policies for the allocation of health funds complicate the scale-up of ambulatory-based management of TB.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Tuberculose
/
Custos de Cuidados de Saúde
/
Atenção à Saúde
/
Regulamentação Governamental
/
Financiamento Governamental
/
Assistência Ambulatorial
/
Política de Saúde
Tipo de estudo:
Diagnostic_studies
/
Health_economic_evaluation
/
Prognostic_studies
Aspecto:
Determinantes_sociais_saude
Limite:
Humans
País/Região como assunto:
Asia
/
Europa
Idioma:
En
Revista:
Int J Tuberc Lung Dis
Ano de publicação:
2014
Tipo de documento:
Article
País de afiliação:
Alemanha