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An innovative model for tuberculosis control: an academic medical center-public health department partnership.
Varkey, Prathibha; Harris, Samar; Edmonson, Larry; McCoy, Kevin; Aksamit, Timothy; Brennan, Michael D.
Afiliación
  • Varkey P; Division of Preventive and Occupational Medicine, Mayo Clinic College of Medicine, USA.
Minn Med ; 93(1): 39-41, 2010 Jan.
Article en En | MEDLINE | ID: mdl-20191731
Between 1996 and 1999, the incidence rate of active tuberculosis (TB) in Olmsted County, Minnesota, increased by 365%--from 3.4 cases per 100,000 population to 15.8 per 100,000 people. The need for early detection and treatment of TB, efficient care delivery, and cost containment led to the establishment in 2001 of an innovative centralized TB clinic. The clinic was established through a collaboration between Mayo Clinic and the Olmsted County Public Health Department. Following its inception, conversion rates for sputum-positive culture increased from 69.2% to 92%, and the percentage of patients taking part in directly observed therapy increased from 20.8% to 94.6%. Because of successful medical outcomes and acceptance by patients, providers, and the community, the clinic model lends itself to replication elsewhere in the United States.
Asunto(s)
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Tuberculosis Pulmonar / Salud Pública / Conducta Cooperativa / Comunicación Interdisciplinaria / Centros Médicos Académicos Tipo de estudio: Incidence_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Aspecto: Determinantes_sociais_saude Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: Minn Med Año: 2010 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Tuberculosis Pulmonar / Salud Pública / Conducta Cooperativa / Comunicación Interdisciplinaria / Centros Médicos Académicos Tipo de estudio: Incidence_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Aspecto: Determinantes_sociais_saude Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: Minn Med Año: 2010 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos