Добавлено: Вт дек 11, 2007 2:00 am
Что,собственно,Вас так рассмешило?4то пациентов не "закрывают"?Или,насчет бездомных?Или что я ВАМ рассказываю?
Можете поинтересоваться,как лечение больных туберкулезом организовано в Сан Францисциско,который является homeless paradise in the US?
http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5211a1.htm
http://home.netcom.com/~schopnew/tbpaper.html
Elements of San Francisco Tuberculosis Control Program
The TB Clinic manages San Francisco's tuberculosis control program at The San Francisco General Hospital, located at 1001 Potrero Avenue. Masae Kawamura is the current Director of the TB Clinic. The Clinic's directly-observed therapy (DOT) program contains 5 key elements (Schecter 165-168):
1. Assignment of Disease Control Investigators, whose responsibility it is to screen risk groups, contact those suspected of having TB and educate them about TB and the importance of chemotherapy treatment.
2. Assignment of a TB Clinic nurse or outreach worker if the patient cannot or will not come to the TB Clinic. The responsibility of the nurse or outreach worker is to reinforce the education provided by the Disease Control Investigator and ensure that DOT is successfully administered throughout the required 6 to 12 months of treatment. Daily or biweekly clinic visits are required and also involve monthly sputum collections to monitor the course of the disease.
3. Foreign-language health workers in the TB Clinic speak Cantonese, Mandarin, Cambodian, French, and Spanish. The ability to speak in the individual's native language helps create a more caring and respectful environment for patients.
4. Collaboration with Methadone Clinic. Given the historic correlation of TB with substance abuse, the TB Clinic's collaboration with the Methadone Clinic, located in the same building on the San Francisco General Hospital campus, is extremely helpful in administering medications at the same time as the individual receives their methadone treatment.
5. Incentives to complete chemotherapy treatment. Other incentives provided to patients include food, drink, and television during their Clinic visits, grocery coupons, clothing store coupons, restaurant coupons, bus tokens, and assistance with housing and social services.
The San Francisco TB Clinic boasts a success rate for DOT of 98%.
Можете поинтересоваться,как лечение больных туберкулезом организовано в Сан Францисциско,который является homeless paradise in the US?
http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5211a1.htm
http://home.netcom.com/~schopnew/tbpaper.html
Elements of San Francisco Tuberculosis Control Program
The TB Clinic manages San Francisco's tuberculosis control program at The San Francisco General Hospital, located at 1001 Potrero Avenue. Masae Kawamura is the current Director of the TB Clinic. The Clinic's directly-observed therapy (DOT) program contains 5 key elements (Schecter 165-168):
1. Assignment of Disease Control Investigators, whose responsibility it is to screen risk groups, contact those suspected of having TB and educate them about TB and the importance of chemotherapy treatment.
2. Assignment of a TB Clinic nurse or outreach worker if the patient cannot or will not come to the TB Clinic. The responsibility of the nurse or outreach worker is to reinforce the education provided by the Disease Control Investigator and ensure that DOT is successfully administered throughout the required 6 to 12 months of treatment. Daily or biweekly clinic visits are required and also involve monthly sputum collections to monitor the course of the disease.
3. Foreign-language health workers in the TB Clinic speak Cantonese, Mandarin, Cambodian, French, and Spanish. The ability to speak in the individual's native language helps create a more caring and respectful environment for patients.
4. Collaboration with Methadone Clinic. Given the historic correlation of TB with substance abuse, the TB Clinic's collaboration with the Methadone Clinic, located in the same building on the San Francisco General Hospital campus, is extremely helpful in administering medications at the same time as the individual receives their methadone treatment.
5. Incentives to complete chemotherapy treatment. Other incentives provided to patients include food, drink, and television during their Clinic visits, grocery coupons, clothing store coupons, restaurant coupons, bus tokens, and assistance with housing and social services.
The San Francisco TB Clinic boasts a success rate for DOT of 98%.