Related Experiment Videos
Patient-centred communication in primary TB care delivery in Western China
1Department of Social Medicine and Health Service Management, Army Medical University (Third Military Medical University), Shapingba, Chongqing, China.
Background:
Patient-centred communication (PCC) is critical for delivering high-quality TB care. The 4-Habits Coding Scheme (4-HCS) is a tool designed to assess 23 communication behaviours from a patient-centred perspective.
Methods:
We aimed to cross-culturally adapt and validate the 4-HCS into Chinese and evaluate PCC skills among TB health care workers (HCWs) in primary health care (PHC) settings in Western China.
Results:
The Chinese version of the 4-HCS demonstrated robust reliability, face validity, and construct validity, and construct validity, and a total of 2,807 HCWs were included in the study. Community-level TB HCWs (3.872 ± 0.842) had better PCC skills than village-level HCWs (3.748 ± 0.860). The Habit 4 (Invest in the End) dimension which required more TB treatment knowledge had the lowest scores across four dimensions at both levels. Factors associated with higher 4-HCS scores included positive working attitudes, high working satisfaction, more years of TB working experience, and being from the community level (all P < 0.05).
Conclusion:
The Chinese version of the 4-HCS is a reliable and valid tool for assessing PCC skills among TB HCWs in PHC settings. Future research should expand to diverse regions and incorporate objective assessments to further validate the tool and explore its broader applicability.
Related Concept Videos
Pulmonary Tuberculosis V
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the progression...
Primary Healthcare Services
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
Pulmonary Tuberculosis I
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Pulmonary Tuberculosis IV
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
Pulmonary Tuberculosis III
The first classification is based on the development of the disease, and it includes the following categories:
Pulmonary Tuberculosis II
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...