An innovative model for tuberculosis control: an academic medical center-public health department partnership.
Between 1996 and 1999, the incidence rate of active tuberculosis (TB) in Olmsted County, Minnesota, increased by 365%--from 3.4 cases per 100,000 population to 15.8 per 100,000 people. The need for early detection and treatment of TB, efficient care delivery, and cost containment led to the establishment in 2001 of an innovative centralized TB clinic. The clinic was established through a collaboration between Mayo Clinic and the Olmsted County Public Health Department. Following its inception, conversion rates for sputum-positive culture increased from 69.2% to 92%, and the percentage of patients taking part in directly observed therapy increased from 20.8% to 94.6%. Because of successful medical outcomes and acceptance by patients, providers, and the community, the clinic model lends itself to replication elsewhere in the United States.
Varkey
Prathibha
P
Division of Preventive and Occupational Medicine, Mayo Clinic College of Medicine, USA.
Harris
Samar
S
Edmonson
Larry
L
McCoy
Kevin
K
Aksamit
Timothy
T
Brennan
Michael D
MD
D000046:Academic Medical Centers; D003299:Cooperative Behavior; D003430:Cross-Sectional Studies; D054242:Emigrants and Immigrants / Q000706:statistics & numerical data; D006801:Humans; D015994:Incidence; D033183:Interdisciplinary Communication; D008403:Mass Screening; D008910:Minnesota; D010044:Outpatient Clinics, Hospital; D011634:Public Health; D014397:Tuberculosis, Pulmonary / Q000453:epidemiology / Q000517:prevention & control* / Q000635:transmission