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General practitioners and tuberculosis: Editorial.
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INDIAN J TB 1975, 22, 133-135. |
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The editorial emphasises the need for GPs to be
provided with adequate knowledge and training (a responsibility
to be shared by universities, medical colleges, the central and
state governments and others involved in the anti-TB programme)
so that erroneous diagnosis, leading delayed referral and, misuse
of drugs, by GPs, may be prevented. Suggestions to accomplish this
objective include replacing mere clinical teaching with community-oriented
teaching in urban and rural practice fields, where the practice
of the NTCP can be demonstrated, giving priority, especially to
rural GPs to attend symposia and various types of orientation courses
and holding State TB conferences in the District Centers with the
participation of GPs and other specialists. The NTCP has no concrete
plan to enlist the GPs aid. The GPs could assist significantly
by training qualified and popular practitioners in rural areas to
hold TB Clinics, to refer cases and to manage these clinics without
fear of losing the cases. Provision of proper record keeping schedules,
facilities for X-ray and sputum examinations, if these cannot be
arranged at the clinic itself, would encourage GPs to participate
collaboratively with clinics so that the clinics could manage the
diagnosis and treatment while the management of the cases including
default actions could be the GPs responsibility. The TAI,
with the IMA, could jointly develop a strategy for the active involvement
of GPs in the NTCP and forward it to the Health Directorate for
implementation, with their co-operation.
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KEYWORDS: GENERAL PRACTITIONER; HEALTH CARE; PRIVATE
SECTOR; INDIA. |