Reform in basic public health service-based health management on pulmonary tuberculosis patients in Hunan province: a SWOT analysis

Objective To examine the implementation of separate expenditure health management on pulmonary tuberculosis (TB) patients covered by basic public health service in Hunan province and to provide references for the improvement of the new management model.

Methods We conducted field group and individual interviews among 71 professional staff recruited from governmental departments, medical institutions, and healthcare clinics at various administrative levels across Hunan province during August 2018. The collected information were summarized with strength, weakness, opportunities and threats (SWOT) analysis.

Results The interviewees reported following views for the new model of TB patients management: the model′s strength is with a strong support of basic public health service and reform experience at county/district level and being easily operated by relevant staff; the model′s weakness is the difficulty in fund supply and project management and the inequity possibly occurring in performance assessment; the opportunities for the model are social and financial support, in accordance with governmental policies and the project′s requirements; the threats for the model are the limitation of current regulations and the difficulty in collaboration between administrative agencies and professional institutions.

Conclusion The reform in health management of pulmonary tuberculosis patients could be promoted by administration improvement, macro-control, financial support, policy modulation, supervision on implementation, and propaganda guidance.