1.What Strategy Can be Applied to the Patients with Culture Positive Tuberculosis to Reduce Treatment Delay in a Private Tertiary Healthcare Center?.
Ji Eun LEE ; Yang Ki KIM ; Tae Hyong KIM ; Kyung Ha KIM ; Eun Jung LEE ; Soo Taek UH ; Tae Youn CHOI
Infection and Chemotherapy 2011;43(1):42-47
BACKGROUND: The contribution of the private sector to the treatment of tuberculosis (TB) is getting larger, and the private sector pays more attention to individualized, intensive care than patient monitoring or education, which would improve the microbiological cure rate or at least completion of treatment. We aim in this paper to assess the impact of the improved monitoring of patient on the treatment outcome in the private tertiary healthcare center. MATERIALS AND METHODS: We compared the data of the positive sputum cultures for TB from March 1, 2003 to March 31, 2006 (37 months) with that data from July 1, 2007 to August 31, 2008 (14 months) in single private tertiary healthcare center in the Republic of Korea (ROK). In the latter period, we notified physicians of the new culture-confirmed cases via a cellular phone short-massage-service (SMS) to prevent delayed recognition of positive cultures and we gave calls to patients to encourage treatment adherence and to complete the whole schedule of medication. RESULTS: After the intervention, initiation of anti-TB medication increased from 86.3% to 94.5% (P<0.05), the interval to medication from the first culture results was shortened from 22.9 days to 5.6 days (P=0.19) and the rate of treatment complication increased from 57.4% to 68.1% (P<0.01). CONCLUSION: Our results showed a possible strategy to improve the completion of treatment in a university hospital. Health care providers in the private sector should to improve success by better notification and monitoring in addition to their existing advanced medical resources.
Appointments and Schedules
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Cellular Phone
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Critical Care
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Health Personnel
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Humans
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Monitoring, Physiologic
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Mycobacterium tuberculosis
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Nontuberculous Mycobacteria
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Private Sector
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Public-Private Sector Partnerships
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Republic of Korea
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Sputum
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Tertiary Healthcare
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Treatment Outcome
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Tuberculosis
2.Vietnam health sector with the date of global health and blood transfusion safety
Journal of Vietnamese Medicine 1999;232(1):5-7
With the helping of international organizations, world health organization and humanitarian organizations and efforts of Vietnam health sector, We obtained the significant results in the people health protection and care. There has not been the blood replacement compound, it must use human blood for the treatment, the date of global health (7/4) every year is considered as the date of blood transfusion safety to prevent from transmissions of communicable diseases.
Healthcare sector
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Health
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Blood Transfusion
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Safety
3.Some opinions about policy of collection of hospital bursar
Journal of Practical Medicine 2002;430(9):2-54
The collection of hospital bursar has been implemented for ten years and regulated for 2 times. Its good influences were evaluated and accepted in the total financial mechanism to assure the activities of health sector. The policy of collection of hospital bursar will apply in long time. There fore, it should be studied thoroughly to obtain the perfect policy for both hospital bursar and general activities of health sector.
Hospitals
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Health Care Sector
4.Application of the information technology in the health sectors an emergency requirement in the current period
Journal of Practical Medicine 2002;435(11):3-3
The information of the health sector is urgent needs. The rapid application of the information technology meets the requirement of the development of health sector in the curative and preventive medicine, the health education and communication, the medical equipment, administration and training.
Technology
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Health Care Sector
5.The health financial solutions contributed to build the health sector as orientation of equity and efficacy.
Journal of Practical Medicine 2002;430(9):54-60
This study introduced the health financial solutions to assure the equity and efficacy in the health protection and care, the financial resources (tax, health insurance, hospital bursar), the financial distribution (between geological regions) the health services, resource distribution and effective use of available financial resource and financial resource for poor
Health Care Sector
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economics
6.The role of the female working force in the health sector in Vietnam
Journal of Medical and Pharmaceutical Information 2001;(11):1-3
The characteristics of the health worker are urgent, prompt, precise and scientific and in the conditions that not suitable with the human physiological rule (working in night and rest in day) and in the environment that not suitable with the human psychology (patients with pain, anxiety, trauma and death). This is toxic and serious environment. This paper showed that the rate of female working force in the health sector at all levels and the rate of women who worked as managers and had a high rank of education was very low. From which this paper introduced the plan for training, using the female working force as well as the policies for them
Health Care Sector
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Female
7.Some features of the international and internal drug market
Pharmaceutical Journal 1999;274(2):6-7
A essential drug resource is consuming at Vietnam is imported. Manufacturing on the domestic drug only met about 25-30% requirement. We must have specific feasable solution for Vietnamese pharmaceutical industry to meet 60% of people drug requirement in 2005 as such pharmaceutical developmental policy
Pharmaceutical Preparations
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Health Care Sector
8.Investigation of expiry date of some pharmaceutical products circulating in the market
Pharmaceutical Journal 1998;272(12):19-21
The objectives of this study were to 1) compare shelf lives of imported versus domestically produced drugs, both as filed with the Drug Administration of Vietnam and as recorded on the drug labels in the market; and 2) review the compliance with expiry dates in 30 selected pharmacies in Hanoi. This retrospective study included 3480 imported and 4519 local drugs in the register files together survey of 1069 local and 1089 imported drugs in private pharmacies in Hanoi. The results showed that 1) frequency of local drugs expiry date in register files was higher than those in real market (97.32% vs. 88.44%, respectively) and 2) the imported drugs on the average have a shelf life twice as long as domestically produced ones. There were still an average of 2.18% of the above mentioned drugs list found in the pharmacies that was out of shelf life. The findings suggest that domestic producers tend to indicate shelf lives that are significantly shorter than those of the foreign manufacturers, and that there may be a need for more close supervision of the regulations concerning shelf life of pharmaceutical products at the pharmaceutical sector.
Pharmaceutical Preparations
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Health Care Sector
9.Characteristic factors of health sector influenced on the drug market in Vietnam during 1991-2000
Pharmaceutical Journal 2001;298(2):4-8
An investigation of drug and medical equipment in port and export companies, pharmaceutical companies and factories, international pharmaceutical enterprises, hospitals and pharmacies, and morbidity structure, pharmaceutical and medical science and technology, drug distribution networks...to find the objective and subjective causes that impacted on the drug market in Vietnam has shown that there were many factors impacted on the drug market, including physicians, patients, morbidity structure, health economy, health policy, medical and pharmaceutical science which generated a various, exciting drug market during 1991-2000. All factors promoted the production and business to meet the needs of user.
Pharmaceutical Preparations
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Health Care Sector
10.Health information technology: challenges and prospect
Journal of Practical Medicine 2002;435(11):3-4
Recently, the health sector of Viet Nam has gathered important achievements. Especially, several scientific-technological achievements has been developed and applied successfully in health, take the medical science of Viet
Nam to keep pace with that of other regional countries. These involve endoscopy, color ultrasonography, three-dimensional ultrasonography, coronary angiography and stent, nuclear magnetic resonance imaging, in vitro fertility (IVF), bone marrow and kidney transplantation. It is showed that information technology has motivated the development of different sciences, especially the medical science.
Information Management
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Health Care Sector