Titre :
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Improved Outcomes Found After Implementing a Systematic Evaluation and Program Improvement Process for Tuberculosis (2013)
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Auteurs :
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Anne CASS ;
Tambi SHAW ;
California Department of Public Health. Center for Infectious Diseases. Division of Communicable Disease Control, Tuberculosis Control Branch (Richmond CA, Etats-Unis) ;
Melissa EHMAN ;
Jan YOUNG ;
Jennifer FLOOD ;
Sarah ROYCE
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Type de document :
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Article
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Dans :
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Public health reports (vol. 128, n° 5, Septembre/Octobre 2013)
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Pagination :
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367-376
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Langues:
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Anglais
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Mots-clés :
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Tuberculose
;
Pronostic
;
Evaluation
;
Programme
;
Amélioration
;
Bactériose
;
Infection
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Résumé :
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[BDSP. Notice produite par INIST-CNRS mrR0xns9. Diffusion soumise à autorisation]. California's state and local tuberculosis (TB) programs collaborated to develop the Tuberculosis Indicators Project (TIP), a program evaluation and improvement process. In TIP, local and state staff review data, identify program gaps, implement plans to improve local TB program performance, and evaluate outcomes. After 10 years of project implementation, indicator performance changes and patient outcomes were measured. Eighty-seven percent of participating programs showed a performance increase in targeted indicators after three years compared with 57% of comparison groups. Statistically significant performance change was more common in the intervention local health departments (LHDs) than in comparison groups. The most notable performance changes were in the contact investigation and case management indicators. These results indicate that this systematic evaluation and program improvement project was associated with improved LHD TB control performance and may be useful to inform improvement projects in other public health programs.
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