在秘鲁利马,结核病诊断的障碍和促进因素:一种混合方法研究
Carolina Geadas1,2, Ana Karina Millones3, Diana Acosta3
1Brigham and Women's Hospital, Division of Infectious Diseases, Boston, MA, USA. cgeadas@bwh.harvard.edu.
BMC infectious diseases
|August 8, 2024
概括
结核病诊断的延迟源于患者的错误信息和医疗保健系统的导航挑战. 提高公众意识,提供者培训和转诊系统可以加快诊断和治疗.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 医疗保健服务研究 医疗服务研究
背景情况:
- 结核病 (TB) 的传染性随着治疗而迅速减少,但诊断延迟是常见的.
- 及时诊断对于有效控制结核病和预防传播至关重要.
研究的目的:
- 调查影响结核病及时诊断的障碍和促进因素.
- 了解患者在导航医疗保健系统中的经验,以诊断结核病.
主要方法:
- 序列解释混合方法研究,涉及100名在秘鲁利马诊断出结核病的成年人.
- 调查评估了症状和医疗经历;半结构面试探索了诊断旅程.
- 对诊断延迟的定量数据和采访成绩单的定性编码确定了障碍和促进者.
主要成果:
- 总诊断延迟的中位数为9周,在与医疗保健联系之前和之后花费了大量时间.
- 关键障碍包括患者对结核病的误解,医疗服务的难以获得性以及医疗保健的分散性.
- 促进者包括社会支持,先前对结核病的了解和专家推.
结论:
- 错误的信息,服务可访问性问题和多次医疗保健接触阻碍了及时的结核病诊断.
- 建议包括延长设施工作时间,加强社区/提供者教育,以及正式的公私推途径.
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