Early interactions with newly diagnosed TB patients in hospital can support linkage to care.

IF 1.3 Q4 RESPIRATORY SYSTEM Public Health Action Pub Date : 2022-09-21 DOI:10.5588/pha.22.0012

L Viljoen, P Hendricks, G Hoddinott, N Vanqa, M Osman, A C Hesseling, S-A Meehan

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引用次数: 1

Abstract

Background: In South Africa, failure to link individuals diagnosed with TB to care remains an important gap in the TB care cascade. Compared to people diagnosed at primary healthcare (PHC) facilities, people diagnosed in hospitals are more likely to require additional support to be linked with PHC TB treatment services. We describe a patient interaction process to support linkage to TB care.

Methods: We implemented a step-by-step early patient interaction process with 84 adults newly diagnosed with TB in one district hospital in Khayelitsha, Cape Town, South Africa (August 2020-March 2021). We confirmed patient contact details, provided TB and health information, shared information on accessing care at PHC facilities and answered patients' questions in their home language.

Results: Most patients (54/84, 64%) provided updated telephone numbers, and 19/84 (23%) reported changes in their physical address. Patients welcomed practical and health information in their home language. The majority (74/84, 88%) were linked to care after hospital discharge.

Conclusions: A simple early patient interaction process implemented as part of routine care is a feasible strategy to facilitate early TB treatment initiation and registration.

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与医院中新诊断的结核病患者的早期互动可以支持与护理的联系。

背景:在南非，未能将结核病患者与治疗联系起来仍然是结核病治疗梯级中的一个重要差距。与在初级卫生保健机构诊断的人相比，在医院诊断的人更有可能需要额外的支持，以便与初级卫生保健结核病治疗服务联系起来。我们描述了一个患者互动过程，以支持与结核病护理的联系。方法:我们在南非开普敦Khayelitsha的一家地区医院对84名新诊断为结核病的成年人实施了逐步的早期患者互动过程(2020年8月至2021年3月)。我们确认了患者的联系方式，提供了结核病和健康信息，分享了在初级保健机构获得护理的信息，并用患者的母语回答了他们的问题。结果:大多数患者(54/ 84,64%)提供了更新的电话号码，19/84(23%)报告了其实际地址的变化。病人欢迎用他们的母语提供实用和健康的信息。大多数(74/84,88%)与出院后的护理有关。结论:作为常规护理的一部分，实施简单的早期患者互动过程是促进早期结核病治疗启动和登记的可行策略。

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Public Health Action RESPIRATORY SYSTEM-

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期刊介绍： Launched on 1 May 2011, Public Health Action (PHA) is an official publication of the International Union Against Tuberculosis and Lung Disease (The Union). It is an open access, online journal available world-wide to physicians, health workers, researchers, professors, students and decision-makers, including public health centres, medical, university and pharmaceutical libraries, hospitals, clinics, foundations and institutions. PHA is a peer-reviewed scholarly journal that actively encourages, communicates and reports new knowledge, dialogue and controversy in health systems and services for people in vulnerable and resource-limited communities — all topics that reflect the mission of The Union, Health solutions for the poor.