中国农村结核病检测与整合医疗的挑战：一项横断面标准化病人研究

数据集获取（Figshare）

• 源站标题：Tuberculosis detection and the challenges of integrated care in rural China: A cross-sectional standardized patient study
• DOI：10.1371/journal.pmed.1002405
• 发布日期：2017-10-17
• 文件数：11 个
• 文件总体积：679.87 KB
• 源站页面：https://plos.figshare.com/articles/dataset/Tuberculosis_detection_and_the_challenges_of_integrated_care_in_rural_China_A_cross-sectional_standardized_patient_study/5505925

命令行下载

curl -L -o "S1 STROBE checklist.pdf" "https://ndownloader.figshare.com/files/9534352"
curl -L -o "S1 Table.pdf" "https://ndownloader.figshare.com/files/9534370"
curl -L -o "S2 Table.pdf" "https://ndownloader.figshare.com/files/9534379"
curl -L -o "S3 Table.pdf" "https://ndownloader.figshare.com/files/9534397"
curl -L -o "S4 Table.pdf" "https://ndownloader.figshare.com/files/9534412"
curl -L -o "S5 Table.pdf" "https://ndownloader.figshare.com/files/9534427"
curl -L -o "S6 Table.pdf" "https://ndownloader.figshare.com/files/9534430"
curl -L -o "S7 Table.pdf" "https://ndownloader.figshare.com/files/9534439"

文件清单

• S1 STROBE checklist.pdf（120.69 KB）
• S1 Table.pdf（40.93 KB）
• S2 Table.pdf（35.66 KB）
• S3 Table.pdf（28.56 KB）
• S4 Table.pdf（48.54 KB）
• S5 Table.pdf（22.76 KB）
• S6 Table.pdf（34.35 KB）
• S7 Table.pdf（25.60 KB）
• S1 Fig.pdf（163.88 KB）
• S2 Fig.pdf（82.20 KB）
• S1 Text.pdf（76.69 KB）

文件总体积 679.87 KB（源站 API 实测）。

数据加载示例（图像类）

from PIL import Image
import glob, os

files = (glob.glob(os.path.join(path, "**", "*.png"), recursive=True)
       + glob.glob(os.path.join(path, "**", "*.jpg"), recursive=True)
       + glob.glob(os.path.join(path, "**", "*.tif"), recursive=True))
print("图像文件数:", len(files))
img = Image.open(files[0]); print("尺寸/模式:", img.size, img.mode)

# torchvision Dataset 方式:
# from torchvision import datasets
# ds = datasets.ImageFolder(path)  # 要求 子目录=类别

目录组织与标注格式以源站说明和下载后实际文件为准。

数据说明

Background
Despite recent reductions in prevalence, China still faces a substantial tuberculosis (TB) burden, with future progress dependent on the ability of rural providers to appropriately detect and refer TB patients for further care. This study (a) provides a baseline assessment of the ability of rural providers to correctly manage presumptive TB cases; (b) measures the gap between provider knowledge and practice and; © evaluates how ongoing reforms of China’s health system—characterized by a movement toward “integrated care” and promotion of initial contact with grassroots providers—will affect the care of TB patients.
Methods/Findings
Unannounced standardized patients (SPs) presenting with classic pulmonary TB symptoms were deployed in 3 provinces of China in July 2015. The SPs successfully completed 274 interactions across all 3 tiers of China’s rural health system, interacting with providers in 46 village clinics, 207 township health centers, and 21 county hospitals. Interactions between providers and standardized patients were assessed against international and national standards of TB care. Using a lenient definition of correct management as at least a referral, chest X-ray or sputum test, 41% (111 of 274) SPs were correctly managed. Although there were no cases of empirical anti-TB treatment, antibiotics unrelated to the treatment of TB were prescribed in 168 of 274 interactions or 61.3% (95% CI: 55%–67%). Correct management proportions significantly higher at county hospitals compared to township health centers (OR 0.06, 95% CI: 0.01–0.25, p p Conclusions
There were significant quality deficits among village clinics and township health centers in the management of a classic case of presumptive TB, with higher proportions of correct case management in county hospitals. Poor clinical performance does not arise only from a lack of knowledge, a phenomenon known as the “know-do” gap. Given significant deficits in quality of care, reforms encouraging first contact with lower tiers of the health system can improve efficiency only with concomitant improvements in appropriate management of presumptive TB patients in village clinics and township health cent

许可

CC BY 4.0

引用

学术使用请引用 DOI 10.1371/journal.pmed.1002405（source: https://plos.figshare.com/articles/dataset/Tuberculosis_detection_and_the_challenges_of_integrated_care_in_rural_China_A_cross-sectional_standardized_patient_study/5505925）。