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Related Experiment Videos

Why do symptomatic patients delay obtaining care for tuberculosis?

S Asch1, B Leake, R Anderson

  • 1Department of Medicine, West Los Angeles VA Medical Center, California 90073, USA. sasch@rand.org

American Journal of Respiratory and Critical Care Medicine
|May 1, 1998
PubMed
Summary
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One in five tuberculosis (TB) patients delayed care over 60 days due to access barriers like unemployment and uncertainty about where to seek treatment, not illness severity. Addressing these barriers can reduce TB spread.

Area of Science:

  • Public Health
  • Infectious Disease Epidemiology
  • Health Services Research

Background:

  • Tuberculosis (TB) resurgence impacts high-risk populations with limited healthcare access.
  • Understanding patient-perceived barriers to care is crucial for effective TB control.

Purpose of the Study:

  • To identify perceived access barriers that delay symptomatic TB patients from seeking timely medical care.
  • To analyze factors associated with significant delays in TB treatment initiation.

Main Methods:

  • A survey was conducted with active TB patients in Los Angeles County.
  • Data collected included self-reported delays (>60 days) and perceived access barriers.
  • County TB registry provided supplementary clinical data for analysis.

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Main Results:

  • 20% of surveyed TB patients reported delays exceeding 60 days.
  • Key predictors of delay included unemployment, cost concerns, and uncertainty about where to access care.
  • Illness severity showed minimal association with treatment delay.

Conclusions:

  • Access barriers, particularly socioeconomic and knowledge-based, significantly delay TB care more than clinical severity.
  • Improving service accessibility for high-risk groups is essential to reduce delays and curb TB transmission.
  • Findings highlight concerns regarding healthcare access equity for TB patients.