什么最重要? 一项定性研究探讨了越南城市结核病患者支持性干预的优先事项
Isabel Smith1, Rachel Forse2,3, Kristi Sidney Annerstedt1
1Department of Global Public Health Sciences, WHO Collaborating Centre for Social Medicine and Tuberculosis, Karolinska Institutet, Stockholm, Sweden.
BMJ open
|August 23, 2023
概括
社会保护干预措施对于改善越南城市结核病 (TB) 治疗结果至关重要. 财政,营养和心理社会支持是患者和医疗保健提供者 (HCP) 的关键优先事项.
科学领域:
- 公共卫生 公共卫生
- 社会科学 社会科学 社会科学
- 卫生经济学 卫生经济学
背景情况:
- 结核病 (TB) 在越南城市构成了重大的健康和经济挑战.
- 社会保护干预措施被认为具有改善结核病治疗结果和降低相关成本的潜力.
- 在这种情况下,缺乏关于结核病患者最佳社会保护策略的证据.
研究的目的:
- 了解结核病患者和医疗保健提供者 (HCP) 对社会保护和支持的基本组成部分的看法.
- 确定可以改善结核病治疗结果和减少越南城市患者经济负担的关键因素.
主要方法:
- 采用焦点小组讨论 (n=30) 和关键信息人采访 (n=4) 的定性研究.
- 参与者包括药物敏感和多药耐药结核病患者以及河内和胡志明市的医疗保健人员.
- 数据分析涉及反射性主题分析,通过变革性社会保护框架进行解释.
主要成果:
- 金融安全网,包括医疗费用支持和灵活的现金转移,是高度优先考虑的.
- 加强心理社会和营养支持对于鼓励患者在结核病治疗期间至关重要.
- 干预措施的可访问性和可接受性对于有效实施和患者参与至关重要.
结论:
- 综合金融风险保护,营养和心理社会支持的可访问干预措施对于改善结核病治疗结果和减轻越南城市灾难性成本至关重要.
- 结果可以指导以人为中心的干预措施的发展,以支持世卫组织的结核战略目标.
更多相关视频
03:47A Retrospective Study on Endoscopic Surgery for the Treatment of Paravertebral Abscess in Spinal Tuberculosis Patients
Published on: October 25, 2024
291
10:04Analysis of 18FDG PET/CT Imaging as a Tool for Studying Mycobacterium tuberculosis Infection and Treatment in Non-human Primates
Published on: September 5, 2017
18.9K
相关概念视频
01:28Pulmonary Tuberculosis V
201
Medical management of tuberculosis (TB) patients involves a comprehensive approach that includes diagnosis, treatment, and monitoring. The specific strategies can vary depending on the type of tuberculosis (latent or active), the patient's overall health status, and other considerations.
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...
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...
201
01:29Pulmonary Tuberculosis I
266
Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
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...
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...
266
01:26Pulmonary Tuberculosis IV
162
Tuberculosis, more commonly referred to as TB, is an infectious disease stemming from Mycobacterium tuberculosis. While it primarily impacts the lungs, TB can also affect other body areas. Given its severity and global impact, timely and accurate diagnosis is crucial for controlling its spread and improving patient outcomes.
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...
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...
162
01:28Pulmonary Tuberculosis II
262
Tuberculosis, or TB, is a bacterial infectious disease caused by Mycobacterium tuberculosis. While its primary impact is on the lungs, leading to pulmonary tuberculosis, it can also affect various other organs, a condition referred to as extrapulmonary tuberculosis.
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...
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...
262
01:31Pulmonary Tuberculosis III
363
Tuberculosis (TB) is a contagious infection primarily affecting the lung parenchyma but which can also affect other body parts. TB can be classified based on disease development, presentation, and the affected anatomical site.
The first classification is based on the development of the disease, and it includes the following categories:
The first classification is based on the development of the disease, and it includes the following categories:
363
01:30Pneumonia V: Nursing management and Prevention
2.2K
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
2.2K