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. 2014 Nov 3;9(11):e111945.
doi: 10.1371/journal.pone.0111945. eCollection 2014.

Survey of tuberculosis hospitals in China: current status and challenges

Jian Du  1 , Yu Pang  2 , Yuhong Liu  1 , Fengling Mi  1 , Shaofa Xu  1 , Liang Li  1
Affiliations

Survey of tuberculosis hospitals in China: current status and challenges

Jian Du et al. PLoS One. .

Abstract

Background: Hospitals will play an increasingly important role in delivering TB services in China, however little is known in terms of the current landscape of the hospital system that delivers TB care.

Methodology/principal findings: In order to examine the status of TB hospitals we performed a study in which a total of 203 TB hospitals, with 30 beds or more, were enrolled from 31 provinces and Xinjiang Production and Construction Corps. Of the 203 hospitals, 93 (45.8%) were located in the eastern region of China, 84 (41.4%) in the central region, and 26 (12.8%) in the western region, while there were 34.6 million TB patients in western China, accounting for 34.6% of the TB burden nationwide. The total number of staff in these 203 hospitals was 83,011, of which 18,899 (22.8%) provided health services for TB patients, (physicians, nurses, lab technicians, etc). Although both the overall number of the health care workers and TB staff in the 203 hospitals increased from the year 1999 to 2009, the former increased by 52%, while the latter increased only by 34%, showing that the percentage of TB staff declined significantly (χ2 = 181.7, P<0.01). The total annual income of the 203 hospitals increased 5.5 fold from 1999 to 2009, while that from TB care increased 3.8 fold during the same period. TB care and control experienced a relatively slower development during this period as shown by the lower percentage of TB staff and the lesser increase in income from TB care in the hospitals.

Conclusions/significance: In conclusion, our findings demonstrated that hospital resources are scarcer in western China as compared with eastern China. In view of the current findings, policymakers are urged to address the uneven distribution of medical resources between the underdeveloped west and the more affluent eastern provinces.

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Conflict of interest statement

Competing Interests: The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Distribution of TB hospitals among different provinces.
The numbers represent the number of hospital in different provinces.
Figure 2
Figure 2. Classification of TB hospitals.
Figure 3
Figure 3. The numbers of staff and TB stafffrom 1999 to 2009.
Figure 4
Figure 4. Composition of TB staff.
Figure 5
Figure 5. Income of TB hospitals from 1999 to 2009.
See this image and copyright information in PMC

References

    1. Kaufmann SH (2005) Robert Koch, the Nobel Prize, and the ongoing threat of tuberculosis. N Engl J Med 353: 2423–2426. - PubMed
    1. World Health Organization (2013) Global Tuberculosis Report. World Health Organization, Geneva, Switzerland.
    1. Pang Y, Zhou Y, Zhao B, Liu G, Jiang G, et al. (2012) Spoligotyping and drug resistance analysis of Mycobacterium tuberculosis strains from national survey in China. PLoS One 7: e32976. - PMC - PubMed
    1. Zhao Y, Xu S, Wang L, Chin DP, Wang S, et al. (2012) National survey of drug-resistant tuberculosis in China. N Engl J Med 366: 2161–2170. - PubMed
    1. Wang L, Liu J, Chin DP (2007) Progress in tuberculosis control and the evolving public-health system in China. Lancet 369: 691–696. - PMC - PubMed

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