Show simple item record

dc.rights.licenseCreative Commons Attribution 4.0 International License
dc.contributor.authorHill, Jeremy Stewarten
dc.contributor.authorDickson-Hall, Lindyen
dc.contributor.authorGrant, Alison D.en
dc.contributor.authorGrundy, Chrisen
dc.contributor.authorBlack, Johnen
dc.contributor.authorKielmann, Karinaen
dc.contributor.authorMlisana, Kolekaen
dc.contributor.authorMitrani, Leilaen
dc.contributor.authorLoveday, Marianen
dc.contributor.authorMoshabela, Mosaen
dc.contributor.authorLe Roux, Sachaen
dc.contributor.authorJassat, Waasilaen
dc.contributor.authorNicol, Marken
dc.contributor.authorCox, Helen Suzanneen
dc.date.accessioned2019-07-10T18:25:20Z
dc.date.available2019-07-10T18:25:20Z
dc.date.issued2020-01-01
dc.identifier.citationHill, J. S., Dickson-Hall, L., Grant, A. D., Grundy, C., Black, J., Kielmann, K., Mlisana, K., Mitrani, L., Loveday, M., Moshabela, M., Le Roux, S., Jassat, W., Nicol, M. & Cox, H. S. (2019) Drug-resistant tuberculosis patient care journeys in South Africa: A pilot study using routine laboratory data. The International Journal of Tuberculosis and Lung Disease, 24(1), pp. 83-91.en
dc.identifier.issn1815-7920en
dc.identifier.issn1027-3719
dc.identifier.urihttps://eresearch.qmu.ac.uk/handle/20.500.12289/9851
dc.identifier.urihttps://doi.org/10.5588/ijtld.19.0100
dc.descriptionKarina Kielmann - ORCID: 0000-0001-5519-1658 https://orcid.org/0000-0001-5519-1658en
dc.description.abstractSETTING: Thirteen districts in Eastern Cape (EC), KwaZulu-Natal (KZN) and Western Cape (WC) Provinces, South Africa.
dc.description.abstractOBJECTIVE: To pilot a methodology for describing and visualising healthcare journeys among drug-resistant tuberculosis (DR-TB) patients using routine laboratory records
dc.description.abstractDESIGN: Laboratory records were obtained for 195 patients with laboratory-detected rifampicin-resistant TB (RR-TB) during July–September 2016. Health facility visits identified from these data were plotted to visualise patient healthcare journeys. Data were verified by facility visits.
dc.description.abstractRESULTS: In the 9 months after the index RR-TB sample was collected, patients visited a mean of 2.3 health facilities (95% CI 2.1–2.6), with 9% visiting 4 facilities. The median distance travelled by patients from rural areas (116 km, interquartile range [IQR] 50–290) was greater than for urban patients (51 km, IQR 9–140). A median of 21% of patient’s time was spent under the care of primary healthcare facilities: this was respectively 6%, 37% and 39% in KZN, EC and WC. Journey patterns were generally similar within districts. Some reflected a semi-centralised model of care where patients were referred to regional hospitals; other journeys showed greater involvement of primary care.
dc.description.abstractCONCLUSION: Routine laboratory data can be used to explore DR-TB patient healthcare journeys and show how the use of healthcare services for DR-TB varies in different settings.
dc.description.sponsorshipThe study was funded by a Health Systems Research Initiative award from the UK Medical Research Council (London) and the Wellcome Trust (London, UK; MR/N015924/1). This UK-funded award is part of the European & Developing Countries Clinical Trials Partnership 2 programme supported by the European Union. HC is supported by a Wellcome Trust Fellowship.
dc.description.urihttps://doi.org/10.5588/ijtld.19.0100en
dc.format.extent83-91
dc.language.isoenen
dc.publisherIngentaen
dc.relation.ispartofThe International Journal of Tuberculosis and Lung Diseaseen
dc.rights© 2020 The Union
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectTuberculosis
dc.subjectMDR-TB
dc.subjectMapping
dc.subjectGIS
dc.subjectHealth Systems
dc.subjectRoutine Data
dc.subjectPatient-focused
dc.titleDrug-resistant tuberculosis patient care journeys in South Africa: A pilot study using routine laboratory dataen
dc.typeArticle
dcterms.accessRightspublic
dcterms.dateAccepted2019-03-05
dc.description.volume24
dc.description.ispublishedpub
rioxxterms.typeJournal Article/Reviewen
rioxxterms.publicationdate2020-01-01
refterms.dateFCD2020-02-10
refterms.depositExceptionpublishedGoldOAen
refterms.accessExceptionNAen
refterms.technicalExceptionNAen
refterms.panelUnspecifieden
qmu.authorKielmann, Karinaen
qmu.centreInstitute for Global Health and Developmenten
dc.description.statuspub
dc.description.number1
refterms.versionVoRen
refterms.dateDeposit2020-02-10


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record

Creative Commons Attribution 4.0 International License
Except where otherwise noted, this item's license is described as Creative Commons Attribution 4.0 International License