How did the TB patients reach DOTS services in Delhi? A study of patient treatment seeking behavior.
How did the TB patients reach DOTS services in Delhi? A study of patient treatment seeking behavior.
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DOI：
10.1371/journal.pone.0042458
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发表时间：
2012
期刊：
影响因子：
3.7
通讯作者：
Satyanarayana S
中科院分区：
文献类型：
--
作者：
Kapoor SK;Raman AV;Sachdeva KS;Satyanarayana S
修订的国家结核病控制方案，印度德里。确定结核病患者在利用DOTS治疗服务之前访问的提供者的数量和顺序;描述症状发作到治疗的持续时间。一项横向定性研究。通过对2012年10月期间登记的结核病患者进行深入访谈收集信息，以便根据修订的国家结核病控制规划从德里的四个结核病诊断和治疗中心获得结核病治疗。在登记的114名患者中，有108人参加了这项研究。研究表明，非正规供应商和零售化学家是三分之二患者的第一接触点和临床建议来源，而其余患者则直接向合格的供应商寻求医疗服务。大多数患者在被诊断为结核病之前曾向两个以上的提供者寻求医疗护理。女性结核病患者和肺外结核患者从出现症状到开始治疗的平均时间较长（分别为6.3个月和8.4个月）。本研究所示的结核病患者遵循的途径提供了宝贵的经验教训，说明了印度等社会卫生系统中不同类型的提供者（正式和非正式）的重要性以及结核病诊断和治疗的延误。
Revised National Tuberculosis Control Programme (RNTCP), Delhi, India. To ascertain the number and sequence of providers visited by TB patients before availing treatment services from DOTS; to describe the duration between onset of symptoms to treatment. A cross sectional, qualitative study. Information was gathered through in-depth interviews of TB patients registered during the month of Oct, 2012 for availing TB treatment under the Revised National TB Control Programme from four tuberculosis diagnosis and treatment centers in Delhi. Out of the 114 patients who registered, 108 participated in the study. The study showed that informal providers and retail chemists were the first point of contact and source of clinical advice for two-third of the patients, while the rest sought medical care from qualified providers directly. Most patients sought medical care from more than two providers, before being diagnosed as TB. Female TB patients and patients with extra-pulmonary TB had long mean duration between onset of symptoms to initiation of treatment (6.3 months and 8.4 months respectively). The pathways followed by TB patients, illustrated in this study, provide valuable lessons on the importance of different types of providers (both formal and informal) in the health system in a society like India and the delays in the diagnosis and treatment of tuberculosis.
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影响因子：
3.7
作者：
Udwadia, Zarir F.;Pinto, Lancelot M.;Uplekar, Mukund W.
通讯作者：
Uplekar, Mukund W.
影响因子：
3.7
作者：
Charles, Niruparani;Thomas, Beena;Wares, Fraser
通讯作者：
Wares, Fraser
“我们首先去小型医生”：第一次接触印度安得拉邦和奥里萨邦农村社区寻求的治疗卫生保健。
DOI：
10.4103/0971-5916.90987
发表时间：
2011-11
期刊：
The Indian journal of medical research
影响因子：
--
作者：
Gautham M;Binnendijk E;Koren R;Dror DM
通讯作者：
Dror DM
DOI：
10.1080/09540120600780542
发表时间：
2007-02-01
影响因子：
1.7
作者：
Mignone, J.;Washington, R. G.;Moses, S.
通讯作者：
Moses, S.
DOI：
10.1016/j.trstmh.2005.04.023
发表时间：
2006-04-01
影响因子：
2.2
作者：
Sheikh, K;Porter, J;Rangan, S
通讯作者：
Rangan, S