The latter is useful for forecasting, assessing trends, and economic decision-making. Since the implementation of DOT, clinical, bacteriological, and epidemiological outcomes have all improved. Characteristics of highly effective TB programs included being comprehensive and community-based, and respectful of the patient's cultural context. Modeling - Treatment Completion in Baltimore A model compared actual treatment completion rates with likely completion rates had DOT not been instituted in 1978. Because many health and social outcomes are multifactorial, comprehensive interventions are necessary.
Program evaluation is increasingly critical in view of health care reforms.
It is important to distinguish poor program performance due to implementation failure vs. theory failure. The Johns Hopkins University on behalf of its Division of Infectious Diseases. All rights reserved. Physicians and other health care professionals are encouraged to consult other sources and confirm the information contained in this site because no single reference or service can take the place of medical training, education, and experience. Consumers are cautioned that this site is not intended to provide medical advice about any specific medical condition they may have or treatment they may need and they are encouraged to call or see their physician or other health care provider promptly with any health related questions they may have.