TUBERCULOSIS EDUCATION AND CONTROL PROGRAM

结核病教育和控制计划

• 批准号: 2211062
• 负责人: HENRY M BLUMBERG
• 金额: $ 8.56万
• 依托单位: EMORY UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1993
• 资助国家: 美国
• 起止时间: 1993-09-30 至 1998-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2211062
• 关键词: TUBERCULOSIS; EDUCATION; CONTROL; PROGRAM

The resurgence of tuberculosis has had a marked impact upon the Emory University School of Medicine community and Grady Memorial Hospital (GMH), a major teaching affiliate. GMH provides care to a large number of indigent minority patients with and at risk for tuberculosis. Currently, Atlanta has the highest rate of TB in the U.S. We propose to establish the Emory Tuberculosis Education and Control Program which will take advantage of a number of unique resources in our area (Emory University School of Medicine (EUSM) and School of Public Health, the Emory AIDS Training Network (EATN), GMH, the Centers for Disease Control and Prevention (CDC), Georgia Institute of Technology) in developing a model program for education, applied research, and TB control to help reduce the rate of TB in metropolitan Atlanta and the state of Georgia. Our first objective is to implement a coordinated competency based program of instruction for medical students and house staff in the principles and practice of preventing, managing, and controlling TB. Our curriculum expansion will be based on Knowles' principles of androgogy. Design, implementation, and evaluation will follow Green and Kreuter's PRECEDE-PROCEED analysis for health educational activities. Included in our model program will be a computer based learning component; the introduction of a problem based learning module on TB; summer research projects for medical students in the control of TB, applied research, or basic research. A second major aim of our program is to increase awareness and improve the knowledge base of community physicians. This effort will be done in collaboration with other groups such as the EATN and the American Lung Association through conferences, symposia, and a mini-residency program. We also plan to develop A Clinician's Guide to Tuberculosis in Georgia that can serve as a primary reference for practicing physicians. Applied research in the control and prevention of TB, both in the hospital and community is the third major objective of our program. Study of the efficacy of control measures to prevent nosocomial transmission of TB will be an important focus. We also plan a major expansion of screening and prevention efforts. Our fourth objective is to reduce the incidence of tuberculosis in Atlanta. This will require efforts to enhance communication and coordination of TB control activities with local and state health departments; EUSM and GMH; Morehouse School of Medicine; and the Division of TB Elimination at CDC. This will be accomplished in part by the establishment of a computerized network between these different groups that have responsibility for the management and care of TB patients. The establishment of a computerized network/TB database which will allow sharing of information between medical providers and the ability to track patients through the health care system should lead to improved surveillance and control of TB in our community and state. Implementation and evaluation of an intensive education program for TB patients at GMH, including one-to-one counseling and low-literacy teaching aids will also be a component of this objective.

结核病的复兴对埃默里有显着影响 大学医学学院社区和格雷迪纪念医院（GMH）， 主要的教学会员。 GMH为大量 贫困的少数民族患者患有结核病的风险和风险。现在， 亚特兰大在美国的结核病率最高，我们建议建立 Emory结核病教育和控制计划将利用优势 我们地区的许多独特资源（埃默里大学学校 医学（EUSM）和公共卫生学院，Emory AIDS培训 网络（EATN），GMH，疾病控制与预防中心（CDC）， 佐治亚理工学院）为制定模型计划 教育，应用研究和结核病控制以帮助降低结核病的速度 在亚特兰大大都会和佐治亚州。我们的第一个目标是 实施基于协调能力的教学计划 医学生和众议院工作人员的原则和实践 防止，管理和控制结核病。我们的课程扩展将是 基于诺尔斯的雄科原理。设计，实施和 评估将遵循Green和Kreuter的先前分析 健康教育活动。我们的模型程序中包括一个 基于计算机的学习组件；引入基于问题的 在结核病上学习模块；医学生的夏季研究项目 结核病，应用研究或基础研究的控制。第二个主要目标 我们的计划是提高意识并提高知识库 社区医生。这项工作将与其他 通过EATN和美国肺协会等团体 会议，专题讨论会和一个迷你居住计划。我们还计划 制定佐治亚州临床医生的结核病指南，可以用作 执业医师的主要参考。应用 在医院和社区中，控制和预防结核病是 我们计划的第三个主要目标。研究控制功效 防止医生传播结核的措施将是一个重要的 重点。我们还计划进行筛查和预防工作的重大扩展。 我们的第四个目标是减少结核病的发生率 亚特兰大。这将需要努力来加强沟通和 与地方和州卫生的结核病控制活动协调 部门； EUSM和GMH；莫尔豪斯医学院；和分裂 CDC消除结核病。这将部分由 建立这些不同组之间的计算机网络 负责结核病患者的管理和护理。这 建立计算机网络/TB数据库，该数据库将允许 在医疗提供者和跟踪能力之间共享信息 通过医疗保健系统的患者应改善 在我们的社区和州中对结核病的监视和控制。执行 以及针对GMH的结核病患者的重症监督教育计划的评估， 包括一对一的咨询和低文字教学辅助工具也将 成为此目标的组成部分。