dc.rights.license | Creative Commons Attribution 4.0 International License | |
dc.contributor.author | Hill, Jeremy Stewart | en |
dc.contributor.author | Dickson-Hall, Lindy | en |
dc.contributor.author | Grant, Alison D. | en |
dc.contributor.author | Grundy, Chris | en |
dc.contributor.author | Black, John | en |
dc.contributor.author | Kielmann, Karina | en |
dc.contributor.author | Mlisana, Koleka | en |
dc.contributor.author | Mitrani, Leila | en |
dc.contributor.author | Loveday, Marian | en |
dc.contributor.author | Moshabela, Mosa | en |
dc.contributor.author | Le Roux, Sacha | en |
dc.contributor.author | Jassat, Waasila | en |
dc.contributor.author | Nicol, Mark | en |
dc.contributor.author | Cox, Helen Suzanne | en |
dc.date.accessioned | 2019-07-10T18:25:20Z | |
dc.date.available | 2019-07-10T18:25:20Z | |
dc.date.issued | 2020-01-01 | |
dc.identifier.citation | Hill, 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.issn | 1815-7920 | en |
dc.identifier.issn | 1027-3719 | |
dc.identifier.uri | https://eresearch.qmu.ac.uk/handle/20.500.12289/9851 | |
dc.identifier.uri | https://doi.org/10.5588/ijtld.19.0100 | |
dc.description | Karina Kielmann - ORCID: 0000-0001-5519-1658
https://orcid.org/0000-0001-5519-1658 | en |
dc.description.abstract | SETTING: Thirteen districts in Eastern Cape (EC),
KwaZulu-Natal (KZN) and Western Cape (WC) Provinces, South Africa. | |
dc.description.abstract | OBJECTIVE: To pilot a methodology for describing and
visualising healthcare journeys among drug-resistant
tuberculosis (DR-TB) patients using routine laboratory
records | |
dc.description.abstract | DESIGN: 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.abstract | RESULTS: 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.abstract | CONCLUSION: 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.sponsorship | The 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.uri | https://doi.org/10.5588/ijtld.19.0100 | en |
dc.format.extent | 83-91 | |
dc.language.iso | en | en |
dc.publisher | Ingenta | en |
dc.relation.ispartof | The International Journal of Tuberculosis and Lung Disease | en |
dc.rights | © 2020 The Union | |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | |
dc.subject | Tuberculosis | |
dc.subject | MDR-TB | |
dc.subject | Mapping | |
dc.subject | GIS | |
dc.subject | Health Systems | |
dc.subject | Routine Data | |
dc.subject | Patient-focused | |
dc.title | Drug-resistant tuberculosis patient care journeys in South Africa: A pilot study using routine laboratory data | en |
dc.type | Article | |
dcterms.accessRights | public | |
dcterms.dateAccepted | 2019-03-05 | |
dc.description.volume | 24 | |
dc.description.ispublished | pub | |
rioxxterms.type | Journal Article/Review | en |
rioxxterms.publicationdate | 2020-01-01 | |
refterms.dateFCD | 2020-02-10 | |
refterms.depositException | publishedGoldOA | en |
refterms.accessException | NA | en |
refterms.technicalException | NA | en |
refterms.panel | Unspecified | en |
qmu.author | Kielmann, Karina | en |
qmu.centre | Institute for Global Health and Development | en |
dc.description.status | pub | |
dc.description.number | 1 | |
refterms.version | VoR | en |
refterms.dateDeposit | 2020-02-10 | |