2023-09-28 14:46:10 +00:00
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abstract: 'The World Health Organization''s End TB Strategy aims to eliminate
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tuberculosis (TB) by 2050. Low-burden countries such as Australia are
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targeted for early elimination (2035), which will require an increase in
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the intensity and scope of case finding and treatment of people with
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latent TB infection (LTBI). Because 80 \% of TB disease in Australia
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occurs in metropolitan Sydney (New South Wales) and Melbourne
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(Victoria), the commitment to move towards elimination has major
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implications for TB programs in these jurisdictions. We report on a case
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study analysis that compares and contrasts key attributes of each of
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these healthcare organizations. Such analysis has important implications
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for all countries seeking to implement international agreements within
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local health structures. Differences in the organizational structure,
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culture and systems of care in NSW and Victoria may facilitate or create
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barriers to changes in organizational system functions, especially the
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way in which TB prevention and LTBI treatment is delivered. Ratification
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of global health treaties and the development of national strategies,
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alone, is insufficient for realizing the promised outcomes. Even in high
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income countries, global health agendas such as TB elimination can be
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complicated by differences in local system structure and funding. As the
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timelines tighten towards 2035, more work must be done to identify the
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organizational conditions and service models that will facilitate
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progress towards TB elimination. (C) 2019 Elsevier B.V. All rights
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reserved.'
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affiliation: 'Degeling, C (Corresponding Author), Univ Wollongong, Australian Ctr
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Hlth Engagement Evidence \& Values, Bldg 15,Room 230, Wollongong, NSW 2522, Australia.
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Degeling, Chris, Univ Wollongong, Fac Social Sci, Australian Ctr Hlth Engagement
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Evidence \& Values, Wollongong, NSW, Australia.
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Carroll, Jane, Bupa Med Visa Serv, Commonwealth, Sydney, NSW, Australia.
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Denholm, Justin, Univ Melbourne, Victorian TB Program, Melbourne, Vic, Australia.
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Denholm, Justin, Univ Melbourne, Doherty Inst, Melbourne, Vic, Australia.
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Marais, Ben, Univ Sydney, Western Sydney Local Hlth Dist, Sydney, NSW, Australia.
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Marais, Ben; Dawson, Angus, Univ Sydney, Marie Bashir Inst, Sydney, NSW, Australia.
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Dawson, Angus, Univ Sydney, Sch Publ Hlth, Sydney Hlth Eth, Sydney, NSW, Australia.'
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author: Degeling, Chris and Carroll, Jane and Denholm, Justin and Marais, Ben and
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Dawson, Angus
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author-email: 'degeling@uow.edu.au
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Jane.Carroll@bupa.com.au
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justin.denholm@mh.org.au
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ben.marais@health.nsw.gov.au
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angus.dawson@sydney.edu.au'
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author_list:
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- family: Degeling
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given: Chris
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- family: Carroll
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given: Jane
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- family: Denholm
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given: Justin
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- family: Marais
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given: Ben
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- family: Dawson
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given: Angus
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da: '2023-09-28'
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doi: 10.1016/j.healthpol.2019.11.009
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eissn: 1872-6054
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files: []
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issn: 0168-8510
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journal: HEALTH POLICY
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keywords: 'Australia; Health system reform; Organizational analysis; Population
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screening; Global health; Policy implementation'
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keywords-plus: 'HEALTH-CARE; SOCIAL-ORGANIZATION; DECENTRALIZATION; INNOVATIONS;
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CLINICIAN; HOSPITALS; NETWORKS; TAXONOMY; CULTURE; SYSTEMS'
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language: English
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month: JAN
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number: '1'
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number-of-cited-references: '50'
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orcid-numbers: Degeling, Chris/0000-0003-4279-3443
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pages: 106-112
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papis_id: 8c304007eba22bf7330df8c31b871eeb
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ref: Degeling2020endingtb
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researcherid-numbers: 'Marais, Ben/AAX-2626-2021
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Degeling, Chris/ABE-2049-2020'
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times-cited: '8'
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title: 'Ending TB in Australia: Organizational challenges for regional tuberculosis
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programs'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000508750500014
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usage-count-last-180-days: '1'
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usage-count-since-2013: '8'
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volume: '124'
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web-of-science-categories: Health Care Sciences \& Services; Health Policy \& Services
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year: '2020'
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