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Table 3 Patient major care pathways, their medical expenditure and delays in the three models of hospital and TB linkages in China

From: Comparing patient care seeking pathways in three models of hospital and TB programme collaboration in China

Pathway The dispensary model The specialist model The integrated model
  Cases, N (%) Average medical expenditure x ¯ (RMB) Days of diagnosis delay x ¯ (M) Days of treatment delay x ¯ (M) Cases, N (%) Average medical expenditure x ¯ (RMB) Days of diagnosis delay x ¯ (M) Days of treatment delay x ¯ (M) Cases, N (%) Average medical expenditure x ¯ (RMB) Days of diagnosis delay x ¯ (M) Days of treatment delay x ¯ (M)
1.CTD/TDH 10 (10) 3663 11 (2) 5 (1) 1 (1) 2700 11 4 29 (28) 2296 3 (1) 2 (1)
2.PCF → CTD/TDH 12 (12) 3036 102 (30) 6 (1) 6 (7) 2353 25 (16) 0 (0) 16 (16) 2189 6 (2) 1 (1)
3.Hospital → CTD/TDH 52 (52) 5055 15 (2) 9 (1) 22 (24) 10029 8 (1) 20 (15) 46 (45) 2512 12 (2) 3 (1)
4.PCF → Hospital → CTD/TDH 26 (26) 4972 53 (10) 25 (8) 23 (26) 11373 52 (20) 32 (8) 12 (12) 5327 33 (25) 3 (1)
5.Specilaist Hospital* 0     20(22) 9547 2 (1) - 0    
6.PCF → Specialist Hospital* 0     18 (20) 19798 29 (9) - 0    
Total 100 4652 35 (4) 12 (1) 90 11626a 23 (6) 23 (0) 103 2729 11 (1)b 2 (1)c
  1. PCF: Primary care facilities, including village doctor clinics and community health centres or township hospitals.
  2. CTD: county TB dispensaries; TDH: TB designated hospitals.
  3. Hospital: here including general hospitals and TB special hospital, but excluding TB designated hospitals.
  4. * For patients finished their treatment in the specialist hospitals, including pathways from general hospital to the TB special hospital and from primary care facilities to general hospital, then to the TB special hospital.
  5. a Kruskal-Wallis H test showed that significant difference was found among three models (χ2 = 83.268, P<0.001). The specialist model was significantly higher than the dispensary model (P<0.001), and the dispensary model was significantly higher than the integrated model (P = 0.034).
  6. b Kruskal-Wallis H test showed that significant difference was found among three models (χ2 = 17.042, P<0.001).. The integrated model was significantly shorter than the dispensary model (P = 0.001) and the specialist model (P = 0.002).
  7. c Kruskal-Wallis H test showed that significant difference was found among three models (χ2 = 9.283, P<0.001). The integrated model was significantly shorter than the dispensary model (P = 0.024) and the specialist model (P = 0.005).