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.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
8.Significance of the health information technology
Journal of Medical and Pharmaceutical Information 2001;9():1-2
In Vietnam, the development of the health information should focus on the disease management and primary health care. Which included the back up of medical record, patient registration, professional development and support to the primary health care, concurrently establishment of telemedicine, telehealthcare, and remote health care system for remote and deep areas.
Information Management
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Health Care Sector
9.Strengthen and development of the village and hamlet health network-urgent task of health sector
Journal of Medical and Pharmaceutical Information 2001;(11):2-4
Vietnam Communist party and Government established the strategy of the people protection and care during 1995-2000. One of the aims of this strategy was to strengthen the local health network that 100% villages and hamlet had the health staffs. This paper introduced the role of the village health staffs, number of health staff, functions and duties and right of village and health staffs
Community Networks
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Health Care Sector
10.Effects of the vertical management of the administrative fund in Hoa Binh health sector
Journal of Medical and Pharmaceutical Information 2001;(11):24-27
It is effective when managing vertically administrative fund in Hoa Binh health sector. The effectiveness has been illustrated by the results of activities in all areas. Implementing vertical fund management makes a better condition for Hoa Binh health sector fulfilling its functions and responsibilities. Hoa Binh health sector is more active in utilizing and allocating resources appropriately. Preventive and curative care at local levels has been located with more resources. Hoa Binh health sector has better conditions to focus on solving the medical equipment issue synchronously with relevant priorities. As a result, it can achieve highly effective investment.
Health Care Sector
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Financial Management