Creation of a tuberculosis directly observed therapy provider network in New York City: a new model of public health.
A 1990-1991 New York State Department of Health (NYSDOH) assessment of the ongoing tuberculosis (TB) epidemic in New York City (NYC) led to legislative enactment of policy recommendations to help stem the epidemic. The principal strategy entailed mobilization of community resources for TB directly observed therapy (DOT) to supplement the DOT available from the NYC Department of Health (NYCDOH). For implementation, the NYSDOH engaged a coalition of public and private health care providers in a TB DOT Provider Network. Network participants include freestanding facilities, many of which already have preexisting affiliative relationships through which DOT can be extended. The number of individuals receiving DOT in NYC has increased more than 10-fold in two years. Over 1,000 individuals have completed their anti-TB treatment while enrolled in the network.
Klein
S J
SJ
Division of Epidemiology, New York State Department of Health, Albany, USA.
Naizby
B E
BE
D000995:Antitubercular Agents / Q000008:administration & dosage; D019058:Community Networks / Q000458:organization & administration*; D004334:Drug Administration Schedule; D005260:Female; D006801:Humans; D008297:Male; D009519:New York City / Q000453:epidemiology; D010349:Patient Compliance; D016730:Program Development; D011634:Public Health; D014376:Tuberculosis / Q000188:drug therapy* / Q000453:epidemiology
D000995:Antitubercular Agents