Архивъ внутренней медицины (Apr 2013)
ВОЗМОЖНОСТИ ПОВЫШЕНИЯ КАЧЕСТВА ВЫЯВЛЕНИЯ ТУБЕРКУЛЁЗА В МЕДИЦИНСКИХ ОРГАНИЗАЦИЯХ ГОРОДА МОСКВЫ
Abstract
The article describes the organization reveal of TB patients at medical facilities of primary health care (PHC) in Moscow. There are the main epidemiological indicators in Moscow and the features of the organization of TB detection in the city. The Quality of detection TB cases in PHC is directly depends on the attention of PHC workers to TB risk groups, the competence in the assessment of the main TB symptoms and organization of the patients’ flow for checking up for TB including sputum smear microscopy. It is proposed installation of centralized fluorography register with the option to analyze the index of “the proportion of people not examined more than two years”. The Quality of TB detection in PHC facilities can be improved by complex implementation of medical and organizational changes and indicators and their regular collection and analysis.
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