Evaluating the policy of setting up microscopy centres at township hospitals in Shandong China: Experience from patients and providers

Health Policy

Volumn 95, Issue 2-3, 2010, Pages 113-121

  Wei, Xiaolin ^a,b   Li, Renzhong ^c   Zou, Guanyang ^a   Walley, John ^a   Newell, James ^a   Liu, Zhimin ^d  

^a UNIVERSITY OF LEEDS   (United Kingdom)

^b SHANGHAI JIAO TONG UNIVERSITY   (China)

^c MDR   (China)

^d Shandong Centre for TB Control   (China)

Author keywords

China; Microscopy centre; Policy assessment; Township; Tuberculosis

Indexed keywords

ADMINISTRATIVE PERSONNEL; ADULT; ARTICLE; CASE FINDING; CHINA; CONTROLLED STUDY; CROSS-SECTIONAL STUDY; DELAYED DIAGNOSIS; DISEASE SEVERITY; FEMALE; FUNDING; HEALTH BEHAVIOR; HEALTH CARE ACCESS; HEALTH CARE COST; HEALTH CARE DELIVERY; HEALTH CARE POLICY; HEALTH CENTER; HEALTH PERSONNEL ATTITUDE; HEALTH SERVICE; HELP SEEKING BEHAVIOR; HUMAN; INTERVIEW; MAJOR CLINICAL STUDY; MALE; PATIENT ATTITUDE; PATIENT REFERRAL; PERSONAL EXPERIENCE; QUALITATIVE ANALYSIS; SPUTUM SMEAR; TUBERCULOSIS;

ATTITUDE OF HEALTH PERSONNEL; CHINA; FEMALE; HEALTH POLICY; HOSPITALS, RURAL; HUMANS; LABORATORIES, HOSPITAL; LOGISTIC MODELS; MALE; MICROBIOLOGICAL TECHNIQUES; MIDDLE AGED; MOTIVATION; MULTIVARIATE ANALYSIS; NATIONAL HEALTH PROGRAMS; PATIENT ACCEPTANCE OF HEALTH CARE; PROGRAM EVALUATION; QUALITATIVE RESEARCH; QUALITY OF HEALTH CARE; SPUTUM; STATISTICS, NONPARAMETRIC; TRANSPORTATION; TUBERCULOSIS;

EID: 77950924397     PISSN: 01688510     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.healthpol.2009.11.014     Document Type: Article

References (24)

1. China National TB Programme Special issue for TB control, in China news 2007, China Centre for Disease Control & China News Agency, Beijing, p. 1-4.
2. WHO WHO report 2008: global tuberculosis control: surveillance, planning, financing 2008, World Health Organization, Geneva.
3. Zhang T., Tang S., Gao J., Whitehead M. Persistent problems of access to appropriate, affordable TB services in rural China: experiences of different social-economic groups. BMC Public Health 2007, 7(19). 10.1186/1471-2458-7-19.
4. Liu X., Thomson R., Gong Y., Zhao F., Squire S.B., Tolhurst R., et al. How affordable are tuberculosis diagnosis and treatment in rural China? An analysis from community and tuberculosis patient perspectives. Tropical Medicine & International Health 2007, 12(12):1464-1471.
5. Meng Q., Li R., Cheng G., Blas E. Provision and financial burden of TB services in a financially decentralized system: a case study from Shandong, China. International Journal of Health Planning & Management 2004, 19(Suppl. 1):S45-S62.
6. Jackson S., Sleigh A.C., Wang G.J., Liu X.L. Poverty and the economic effects of TB in rural China. International Journal of Tuberculosis & Lung Disease 2006, 10(10):1104-1110.
7. Cheng G., Tolhurst R., Li R.Z., Meng Q.Y., Tang S. Factors affecting delays in tuberculosis diagnosis in rural China: a case study in four counties in Shandong Province. Transactions of the Royal Society of Tropical Medicine & Hygiene 2005, 99(5):355-362.
8. Hu D., Liu X., Cheng J., Wang Y., Wang T., Zeng W., et al. Direct observation and adherence to tuberculosis treatment in Chongqing, China: a descriptive study. Health Policy and Planning 2008, 23:43-55.
9. National Technical Steering Group of the Epidemiological Sampling Survey Report on fourth national epidemiological sampling survey of tuberculosis. Chinese Journal of Tuberculosis & Respiratory Diseases 2002, 25(1):3-7.
10. Wei X., Liang X., Liu F., Walley J., Dong B. Decentralising tuberculosis services from county tuberculosis dispensaries to township hospitals in China: an intervention study. International Journal of Tuberculosis & Lung Disease 2008, 12(5):538-547.
11. Wang Y., Long Q., Liu Q., Tolhurst R., Tang S. Treatment seeking for symptoms suggestive of TB: comparison between migrants and permanent urban residents in Chongqing, China. Tropical Medicine and International Health 2008, 13(7):927-933.
12. Ministry of Health Notice of setting up sputum collection spots at township hospitals 2004, vol. 78. General Office, Beijing, China, p. 1.
13. Li R. General report of the performance of microscopy centres in Shandong 2008, Department of TB Prevention and Control, Shandong Chest Hospital, p. 2.
14. Ministry of Health Guidelines to set up the microscopy centres in township hospitals and laboratory operation 2004, General Office, Beijing, China, p. 1-10.
15. Salaniponi F.M., Gausi F., Mphasa N., Nyirenda T.E., Kwanjana J.H., Harries A.D. Decentralisation of treatment for patients with tuberculosis in Malawi: moving from research to policy and practice. International Journal of Tuberculosis & Lung Disease 2003, 7(Suppl. 1):S38-47.
16. Bloom G., Gu X. Health sector reform: lessons from China. Social Science and Medicine 1997, 45(3):351-360.
17. Liu Y. China's public health system: facing the challenges. Bulletin of the World Health Organisation 2004, 82(7):532-538.
18. Meng Q., Shi G., Yang H., Gonzalez-Block M., Blas E. Health policy and system research in China 2004, TDR, WHO, Geneva, Switzerland.
19. Zhan S., Wang L., Yin A., Blas E. Revenue-driven in TB control-three cases in China. International Journal of Health Planning & Management 2004, 19(Suppl. 1):S63-78.
20. Wang W.B., Jiang Q.W., Chen Y., Xu B. Pathways from first health care seeking to diagnosis: obstacles to tuberculosis care in rural China. International Journal of Tuberculosis & Lung Disease 2007, 11(4):386-391.
21. Wei X., Liang X., Walley J., Liu F., Dong B. Analysis of care-seeking pathways of tuberculosis patients in Guangxi, China, with and without decentralised tuberculosis services. International Journal of Tuberculosis & Lung Disease 2009, 13(4):514-520.
22. Xu B., Diwan V.K., Bogg L. Access to tuberculosis care: what did chronic cough patients experience in the way of healthcare-seeking?. Scandinavian Journal of Public Health 2007, 35(4):396-402.
23. Wei X., Walley J., Zhao J., Yao H., Liu J., Newell J. Why financial incentives did not reach the poor tuberculosis patients? A qualitative study of a Fidelis funded project in Shanxi China. Health Policy 2009, 90:206-213.
24. Zhang T., Liu X., Bromley H., Tang S. Perceptions of tuberculosis and health seeking behaviour in rural Inner Mongolia, China. Health Policy 2007, 81(2-3):155-165.