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DOT Status and Development in China

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Handbook of Global Tuberculosis Control

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Abstract

Patient compliance with treatment regimens remains a serious problem in the treatment of tuberculosis (TB) patients. In the decades after the advent of anti-TB drugs in the late 1940s, Directly Observed Therapy (DOT) gradually became a widely accepted and recommended staple of TB treatment management, resulting in the evolution of DOT-based systems worldwide that attempt to ensure patient compliance with their treatment schedules. Most of these DOT programs involve selecting and training supervisors to monitor, record, and enforce patient treatment regimens. Although widely used, DOT programs face many challenges today, especially in low-resource areas such as rural China. In response to these problems, current developments in treatment management involve utilizing new technology and research to discover more effective and efficient ways of ensuring that patients take their medication.

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Authors and Affiliations

  1. National Center for Tuberculosis Control and Prevention, Chinese Center for Disease Control and Prevention, No. 155 Changbai Road, Changping District, Beijing, 102206, China

    Shiwen Jiang & Xiaoqiu Liu

  2. Tuberculosis Institute of Prevention and Control of Chongqing City, No. 71 Xiejiawan Longtengdadao Road, Jiulongpo District, Chongqing, 400051, China

    Daiyu Hu

Authors
  1. Shiwen Jiang
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  2. Daiyu Hu
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  3. Xiaoqiu Liu
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Corresponding author

Correspondence to Shiwen Jiang .

Editor information

Editors and Affiliations

  1. Haikou VTI Biological Institute, Boston, Massachusetts, USA

    Yichen Lu

  2. Chinese Nat’l Ctr Disease Control and Prevention, Nat’l Center for TB Control & Prevention Chinese Nat’l Ctr Disease Control and Prevention, Beijing, China

    Lixia Wang

  3. National Center for Tuberculosis Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China

    Hongjin Duanmu

  4. Brookline, Massachusetts, USA

    Chris Chanyasulkit

  5. Vaccine Technologies, Inc., Wellesley, Massachusetts, USA

    Amie J. Strong

  6. National Center for Tuberculosis Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China

    Hui Zhang

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Jiang, S., Hu, D., Liu, X. (2017). DOT Status and Development in China. In: Lu, Y., Wang, L., Duanmu, H., Chanyasulkit, C., Strong, A., Zhang, H. (eds) Handbook of Global Tuberculosis Control. Springer, Boston, MA. https://doi.org/10.1007/978-1-4939-6667-7_9

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  • DOI: https://doi.org/10.1007/978-1-4939-6667-7_9

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  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4939-6665-3

  • Online ISBN: 978-1-4939-6667-7

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