Listening to Those at the Frontline: Patient and Healthcare Personnel Perspectives on Tuberculosis Treatment Barriers and Facilitators in High TB Burden Regions of Argentina
Joint Authors
Discacciati, Vilda
Iribarren, Sarah
Rubinstein, Fernando
Pearce, Patricia F.
Source
Tuberculosis Research and Treatment
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-14, 14 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-09-28
Country of Publication
Egypt
No. of Pages
14
Main Subjects
Abstract EN
Purpose.
In Argentina, tuberculosis (TB) control measures have not achieved key treatment targets.
The purpose of this study was to identify modes of treatment delivery and explore patient and healthcare personnel perceptions of barriers and facilitators to treatment success.
Methods.
We used semistructured group and individual interviews for this descriptive qualitative study.
Eight high burden municipalities were purposively selected.
Patients in treatment for active TB (n=16), multidisciplinary TB team members (n=26), and TB program directors (n=12) at local, municipal, regional, and national levels were interviewed.
Interviews were recorded, transcribed verbatim, and analyzed using thematic analysis.
Results.
Modes of treatment delivery varied across municipalities and types of healthcare facility and were highly negotiated with patients.
Self-administration of treatment was common in hospital-based and some community clinics.
Barriers to TB treatment success were concentrated at the system level.
This level relied heavily on individual personal commitment, and many system facilitators were operating in isolation or in limited settings.
Conclusions.
We outline experiences and perspectives of the facilitating and challenging factors at the individual, structural, social, and organizational levels.
Establishing strong patient-healthcare personnel relationships, responding to patient needs, capitalizing on community resources, and maximizing established decentralized system could mitigate some of the barriers.
American Psychological Association (APA)
Iribarren, Sarah& Rubinstein, Fernando& Discacciati, Vilda& Pearce, Patricia F.. 2014. Listening to Those at the Frontline: Patient and Healthcare Personnel Perspectives on Tuberculosis Treatment Barriers and Facilitators in High TB Burden Regions of Argentina. Tuberculosis Research and Treatment،Vol. 2014, no. 2014, pp.1-14.
https://search.emarefa.net/detail/BIM-1048053
Modern Language Association (MLA)
Iribarren, Sarah…[et al.]. Listening to Those at the Frontline: Patient and Healthcare Personnel Perspectives on Tuberculosis Treatment Barriers and Facilitators in High TB Burden Regions of Argentina. Tuberculosis Research and Treatment No. 2014 (2014), pp.1-14.
https://search.emarefa.net/detail/BIM-1048053
American Medical Association (AMA)
Iribarren, Sarah& Rubinstein, Fernando& Discacciati, Vilda& Pearce, Patricia F.. Listening to Those at the Frontline: Patient and Healthcare Personnel Perspectives on Tuberculosis Treatment Barriers and Facilitators in High TB Burden Regions of Argentina. Tuberculosis Research and Treatment. 2014. Vol. 2014, no. 2014, pp.1-14.
https://search.emarefa.net/detail/BIM-1048053
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1048053