A Study on the Performance of Current Directly Observed Treatment, Short－course (DOTS)

• Main Authors: CHENG.CHUN-MEI, 程春美
• Other Authors: 無
• Format: Others
• Language: zh-TW
• Published: 2008
• Online Access: http://ndltd.ncl.edu.tw/handle/06465882036366874038

碩士 === 南台科技大學 === 企業管理系 === 96 === Tuberculosis is the most infectious disease that causes the most deaths by a single pathogen on the world. According to the estimation of WHO, from 2000 to 2020, if no effective prevention and treatment, tubercle bacillus will infect one billion people among whom one hundred million people will have the disease and 35 million will die from the disease. Tuberculosis has always been the most serious infectious disease in Taiwan. Facing the opening of sightseeing tourists, the introduction of foreign laborers, the frequent international connections, and the increase of tuberculosis complicated by AIDS, the prevention and treatment of tuberculosis encounters a stringent challenge. Therefore, enthusiastic and active interventions are needed to breakthrough the bottleneck of the prevention and treatment to protect the health of people. Comparing with the development of developed countries, we are still decades behind in this aspect. Further improvements are needed. The National Health Insurance Bureau started pushing "the Trial Improvement Project on Tuberculosis Treatment Settlement” in October 2001. The effectiveness of this settlement was based on the foundation of “disease management.” However, because of the limitation of the effectiveness, the current tuberculosis prevention and treatment did not meet the disease control standard of WHO. Thus, in April, 2006, the Centers for Disease Control promoted “the Tuberculosis DOTs Project” to actively improve the care of tuberculosis disease. By this, this research is aiming at the effectiveness of disease management by using the Tuberculosis DOTs Project as the example. This research uses the whole tuberculosis patients of this country as subject of study and analyzes the medical resource depletion and the patient recovery situations after the implementation of the Tuberculosis DOTs Project. Besides general description analysis, inference statistics and regression analysis are also adopted in analysis and exploration. The results showed that after the implementation of the Tuberculosis DOTs Project, the assured disease cases, mortality, treatment frequency, medical resource depletion, and the period of complete cure are shortened. It did help patients get complete medical treatment and decrease unnecessary medical cost.