Opportunities for collaboration between tuberculosis services and primary healthcare through geographic information systems

The aim of the work was to develop interaction between the phthisiological and therapeutic district services using geoinformation technologies in the organization of preventive work to prevent the spread of tuberculosis. Materials and methods. The work uses databases of medical information systems of polyclinics of the general medical network of the Nevsky district of St. Petersburg, containing information on the attachment of residential buildings to polyclinics and their distribution between the phthisiological sections of PTD No. 14. Spatial data was processed using the open, freely distributed geographic information system NEXT GIS QGIS. The spatial analysis of the district services of the tuberculosis dispensary and district polyclinics was performed with vector analysis tools from the NEXT GIS QGIS. The office applications MS Office PowerPoint and Excel were also used in the work. Results and discussion. To achieve this goal, we used GIS, thanks to which, at the first stage, the mapping of phthisiological sites and departments of outpatient clinics in the Nevsky district of our city was carried out. At the same time, the service areas of these institutions were correlated and information about the district doctors of both services was visualized with their contact information for each of the addresses of the territories, up to a specific house. The second stage was the geocoding of the database of tuberculosis patients in the supervised territories over the past five years, which made it possible to visualize the epidemiological situation of tuberculosis. Visual information about the epidemic foci of tuberculosis showed not only the state of epidemic tension in the whole area, but also at each specific address, and thanks to the mapping of phthisiological and therapeutic sites, direct interaction between doctors of both services became possible. In addition, the information provided caused an increase in the interest of doctors about the epidemic state of tuberculosis in the territories entrusted to them, improved the quality of perception of the submitted material and contributed to the organization of more thorough preventive measures in epidemiologically disadvantaged territories. Conclusion. The introduction of GIS into the work of the tuberculosis dispensary has made it possible to establish work within the phthisiological service and increase the effectiveness of interaction with primary outpatient institutions, which will undoubtedly have a positive impact on the effectiveness of general preventive work in the epidemic focus of tuberculosis.

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