أعرض تسجيلة المادة بشكل مبسط

dc.contributor International Union against Tuberculosis and Lung Disease, Paris, France. adharries@theunion.org
dc.creator Harries, A D
dc.creator Zachariah, R
dc.creator Kapur, A
dc.creator Jahn, A
dc.creator Enarson, D A
dc.date 2009-06
dc.date.accessioned 2017-01-31T07:14:43Z
dc.date.available 2017-01-31T07:14:43Z
dc.identifier The vital signs of chronic disease management. 2009, 103 (6):537-40 Trans. R. Soc. Trop. Med. Hyg.
dc.identifier 1878-3503
dc.identifier 19155031
dc.identifier 10.1016/j.trstmh.2008.12.008
dc.identifier http://hdl.handle.net/10144/75175
dc.identifier http://fieldresearch.msf.org/msf/handle/10144/75175
dc.identifier Transactions of the Royal Society of Tropical Medicine and Hygiene
dc.identifier.uri http://dspace.mediu.edu.my:8181/xmlui/handle/10144/75175
dc.description The vital signs of pulse rate, blood pressure, temperature and respiratory rate are the 'nub' of individual patient management. At the programmatic level, vital signs could also be used to monitor the burden and treatment outcome of chronic disease. Case detection and treatment outcome constitute the vital signs of tuberculosis control within the WHO's 'DOTS' framework, and similar vital signs could be adapted and used for management of chronic diseases. The numbers of new patients started on therapy in each month or quarter (new incident cases) are sensitive indicators for programme performance and access to services. Using similar reporting cycles, treatment outcomes for all patients can be assessed, the vital signs being: alive and retained on therapy at the respective facility; died; stopped therapy; lost to follow-up; and transferred out to another facility. Retention on treatment constitutes the prevalent number of cases, the burden of disease, and this provides important strategic information for rational drug forecasting and logistic planning. If case numbers and outcomes of chronic diseases were measured reliably and consistently as part of an integrated programmatic approach, this would strengthen the ability of resource-poor countries to monitor and assess their response to these growing epidemics.
dc.language en
dc.rights Published by Elsevier Archived on this site with the kind permission of Elsevier Ltd. ([url]http://www.sciencedirect.com/science/journal/00359203[/url]) and the Royal Society of Tropical Medicine and Hygiene ([url]http://www.rstmh.org/transactions.asp[/url])
dc.title The vital signs of chronic disease management.


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