Access to tuberculosis care: What did chronic cough patients experience in the way of healthcare-seeking?
Aims: The directly observed treatment-short course (DOTS) has been adopted in China's modern tuberculosis (TB) control programme since 1992. However, the case detection rate of TB is far below the global 70% target. The aims of this study are to analyse the healthcare-seeking experiences and ec...
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| Veröffentlicht in: | Scandinavian journal of public health 2007-01, Vol.35 (4), p.396-402 |
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| description | Aims: The directly observed treatment-short course (DOTS) has been adopted in China's modern tuberculosis (TB) control programme since 1992. However, the case detection rate of TB is far below the global 70% target. The aims of this study are to analyse the healthcare-seeking experiences and economic burden of potential TB patients with more than two weeks of cough in counties with and without a DOTS project and to explore the barriers to access for potential TB patients in rural China. Methods: A cross-sectional study using questionnaire interviews was conducted in a DOTS project county (Jianhu) and a non-DOTS county (Funing) in Jiangsu Province. A total of 1,204 chronic cough hospital patients were interviewed about their care-seeking experiences. Result: The mean patient delays were 34 and 29 days respectively in Jianhu and Funing (p=0.070). A shorter patient delay was associated with the availability of medical insurance (RR=1.36, p |
| doi_str_mv | 10.1080/14034940601160664 |
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However, the case detection rate of TB is far below the global 70% target. The aims of this study are to analyse the healthcare-seeking experiences and economic burden of potential TB patients with more than two weeks of cough in counties with and without a DOTS project and to explore the barriers to access for potential TB patients in rural China. Methods: A cross-sectional study using questionnaire interviews was conducted in a DOTS project county (Jianhu) and a non-DOTS county (Funing) in Jiangsu Province. A total of 1,204 chronic cough hospital patients were interviewed about their care-seeking experiences. Result: The mean patient delays were 34 and 29 days respectively in Jianhu and Funing (p=0.070). A shorter patient delay was associated with the availability of medical insurance (RR=1.36, p<0.01). More than 97% of patients sought care in the general health system, rather man in the special TB dispensary. Only 1.8% (Jianhu) and 5.0% (Funing) of the subjects had been sputum smear tested (p< 0.001). The average patient's expenditure was CNY346 in Jianhu and CNY256 in Funing (p>0.05). Conclusion: Potential patients' access to TB care needs improving under DOTS. The expenses for treatment of cough are a heavy burden for the poor. Since the low-income patients first seek care at village health stations or township hospitals for cough, it is vital to involve the general health system in the DOTS project.</description><identifier>ISSN: 1403-4948</identifier><identifier>ISSN: 1651-1905</identifier><identifier>EISSN: 1651-1905</identifier><identifier>DOI: 10.1080/14034940601160664</identifier><identifier>PMID: 17786803</identifier><language>eng</language><publisher>London, England: Taylor & Francis</publisher><subject>Access ; Adolescent ; Adult ; Aged ; Bacterial diseases ; barriers to care ; Biological and medical sciences ; Care Sciences ; China ; Chronic Disease ; Cost of Illness ; Cough - diagnosis ; Cross-Sectional Studies ; Directly observed therapy ; Female ; Health Services Accessibility - economics ; Human bacterial diseases ; Humans ; Infectious diseases ; Insurance, Health - economics ; Interviews as Topic ; Male ; Medical sciences ; Medicin och hälsovetenskap ; Middle Aged ; Miscellaneous ; ORIGINAL ARTICLES ; Patient Acceptance of Health Care ; Pneumology ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Respiratory system : syndromes and miscellaneous diseases ; Rural areas ; Rural Population ; Surveys and Questionnaires ; Tuberculosis ; Tuberculosis and atypical mycobacterial infections ; Tuberculosis, Pulmonary - diagnosis ; Tuberculosis, Pulmonary - drug therapy ; Tuberculosis, Pulmonary - economics ; Tuberculosis, Pulmonary - prevention & control ; vårdvetenskap</subject><ispartof>Scandinavian journal of public health, 2007-01, Vol.35 (4), p.396-402</ispartof><rights>2007 Taylor & Francis</rights><rights>2008 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c635t-3f3bb0e34dcfe78a66ebb3f8cc6d989cdad4b0fd94b3874aafbe51ccfa17dc5d3</citedby><cites>FETCH-LOGICAL-c635t-3f3bb0e34dcfe78a66ebb3f8cc6d989cdad4b0fd94b3874aafbe51ccfa17dc5d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/45149872$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/45149872$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>230,314,780,784,803,885,21819,27924,27925,31000,43621,43622,58017,58250</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18973128$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17786803$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-11660$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:115905756$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>XU, BIAO</creatorcontrib><creatorcontrib>DIWAN, VINOD K.</creatorcontrib><creatorcontrib>BOGG, LENNART</creatorcontrib><title>Access to tuberculosis care: What did chronic cough patients experience in the way of healthcare-seeking?</title><title>Scandinavian journal of public health</title><addtitle>Scand J Public Health</addtitle><description>Aims: The directly observed treatment-short course (DOTS) has been adopted in China's modern tuberculosis (TB) control programme since 1992. However, the case detection rate of TB is far below the global 70% target. The aims of this study are to analyse the healthcare-seeking experiences and economic burden of potential TB patients with more than two weeks of cough in counties with and without a DOTS project and to explore the barriers to access for potential TB patients in rural China. Methods: A cross-sectional study using questionnaire interviews was conducted in a DOTS project county (Jianhu) and a non-DOTS county (Funing) in Jiangsu Province. A total of 1,204 chronic cough hospital patients were interviewed about their care-seeking experiences. Result: The mean patient delays were 34 and 29 days respectively in Jianhu and Funing (p=0.070). A shorter patient delay was associated with the availability of medical insurance (RR=1.36, p<0.01). More than 97% of patients sought care in the general health system, rather man in the special TB dispensary. Only 1.8% (Jianhu) and 5.0% (Funing) of the subjects had been sputum smear tested (p< 0.001). The average patient's expenditure was CNY346 in Jianhu and CNY256 in Funing (p>0.05). Conclusion: Potential patients' access to TB care needs improving under DOTS. The expenses for treatment of cough are a heavy burden for the poor. Since the low-income patients first seek care at village health stations or township hospitals for cough, it is vital to involve the general health system in the DOTS project.</description><subject>Access</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Bacterial diseases</subject><subject>barriers to care</subject><subject>Biological and medical sciences</subject><subject>Care Sciences</subject><subject>China</subject><subject>Chronic Disease</subject><subject>Cost of Illness</subject><subject>Cough - diagnosis</subject><subject>Cross-Sectional Studies</subject><subject>Directly observed therapy</subject><subject>Female</subject><subject>Health Services Accessibility - economics</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Insurance, Health - economics</subject><subject>Interviews as Topic</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicin och hälsovetenskap</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>ORIGINAL ARTICLES</subject><subject>Patient Acceptance of Health Care</subject><subject>Pneumology</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Respiratory system : syndromes and miscellaneous diseases</subject><subject>Rural areas</subject><subject>Rural Population</subject><subject>Surveys and Questionnaires</subject><subject>Tuberculosis</subject><subject>Tuberculosis and atypical mycobacterial infections</subject><subject>Tuberculosis, Pulmonary - diagnosis</subject><subject>Tuberculosis, Pulmonary - drug therapy</subject><subject>Tuberculosis, Pulmonary - economics</subject><subject>Tuberculosis, Pulmonary - prevention & control</subject><subject>vårdvetenskap</subject><issn>1403-4948</issn><issn>1651-1905</issn><issn>1651-1905</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkktv1DAURiMEoqXwA1iAvIEVKfb4EZsNGpWnVIkNj6Xl2DcTTzNxsB2V_ns8mtBZoMLKV_Y5n1-3qp4SfE6wxK8Jw5QphgUmRGAh2L3qlAhOaqIwv1_qsl4XQJ5Uj1LaYowFW8mH1QlpGikkpqeVX1sLKaEcUJ5biHYeQvIJWRPhDfrRm4ycd8j2MYzeIhvmTY8mkz2MOSH4NUEspQXkR5R7QNfmBoUO9WCG3O9D6gRw5cfN28fVg84MCZ4s41n17cP7rxef6ssvHz9frC9rKyjPNe1o22KgzNkOGmmEgLalnbRWOCWVdcaxFndOsZbKhhnTtcCJtZ0hjbPc0bOqPuSma5jmVk_R70y80cF4vUxdlQo0F5JxVXh1Jz_F4I7SH5EQXt634aK4r-503_nvax3iRu9cXxQhcMFfHvCS-3OGlPXOJwvDYEYIc9JCrqjCavVfkDcEK0b3ieQA2hhSitDdHoFgve8R_VePFOf5Ej63O3BHY2mKArxYAJOsGbpoRuvTkZOqoWQlC3e-3N5sQG_DHMfysf_c-dlB2KYc4m0g44Qp2azob_lS3iU</recordid><startdate>20070101</startdate><enddate>20070101</enddate><creator>XU, BIAO</creator><creator>DIWAN, VINOD K.</creator><creator>BOGG, LENNART</creator><general>Taylor & Francis</general><general>Sage Publications</general><general>Sage</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7X8</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>DF7</scope></search><sort><creationdate>20070101</creationdate><title>Access to tuberculosis care: What did chronic cough patients experience in the way of healthcare-seeking?</title><author>XU, BIAO ; DIWAN, VINOD K. ; BOGG, LENNART</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c635t-3f3bb0e34dcfe78a66ebb3f8cc6d989cdad4b0fd94b3874aafbe51ccfa17dc5d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Access</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Bacterial diseases</topic><topic>barriers to care</topic><topic>Biological and medical sciences</topic><topic>Care Sciences</topic><topic>China</topic><topic>Chronic Disease</topic><topic>Cost of Illness</topic><topic>Cough - diagnosis</topic><topic>Cross-Sectional Studies</topic><topic>Directly observed therapy</topic><topic>Female</topic><topic>Health Services Accessibility - economics</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Insurance, Health - economics</topic><topic>Interviews as Topic</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicin och hälsovetenskap</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>ORIGINAL ARTICLES</topic><topic>Patient Acceptance of Health Care</topic><topic>Pneumology</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Respiratory system : syndromes and miscellaneous diseases</topic><topic>Rural areas</topic><topic>Rural Population</topic><topic>Surveys and Questionnaires</topic><topic>Tuberculosis</topic><topic>Tuberculosis and atypical mycobacterial infections</topic><topic>Tuberculosis, Pulmonary - diagnosis</topic><topic>Tuberculosis, Pulmonary - drug therapy</topic><topic>Tuberculosis, Pulmonary - economics</topic><topic>Tuberculosis, Pulmonary - prevention & control</topic><topic>vårdvetenskap</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>XU, BIAO</creatorcontrib><creatorcontrib>DIWAN, VINOD K.</creatorcontrib><creatorcontrib>BOGG, LENNART</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Mälardalens högskola</collection><jtitle>Scandinavian journal of public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>XU, BIAO</au><au>DIWAN, VINOD K.</au><au>BOGG, LENNART</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Access to tuberculosis care: What did chronic cough patients experience in the way of healthcare-seeking?</atitle><jtitle>Scandinavian journal of public health</jtitle><addtitle>Scand J Public Health</addtitle><date>2007-01-01</date><risdate>2007</risdate><volume>35</volume><issue>4</issue><spage>396</spage><epage>402</epage><pages>396-402</pages><issn>1403-4948</issn><issn>1651-1905</issn><eissn>1651-1905</eissn><abstract>Aims: The directly observed treatment-short course (DOTS) has been adopted in China's modern tuberculosis (TB) control programme since 1992. However, the case detection rate of TB is far below the global 70% target. The aims of this study are to analyse the healthcare-seeking experiences and economic burden of potential TB patients with more than two weeks of cough in counties with and without a DOTS project and to explore the barriers to access for potential TB patients in rural China. Methods: A cross-sectional study using questionnaire interviews was conducted in a DOTS project county (Jianhu) and a non-DOTS county (Funing) in Jiangsu Province. A total of 1,204 chronic cough hospital patients were interviewed about their care-seeking experiences. Result: The mean patient delays were 34 and 29 days respectively in Jianhu and Funing (p=0.070). A shorter patient delay was associated with the availability of medical insurance (RR=1.36, p<0.01). More than 97% of patients sought care in the general health system, rather man in the special TB dispensary. Only 1.8% (Jianhu) and 5.0% (Funing) of the subjects had been sputum smear tested (p< 0.001). The average patient's expenditure was CNY346 in Jianhu and CNY256 in Funing (p>0.05). Conclusion: Potential patients' access to TB care needs improving under DOTS. The expenses for treatment of cough are a heavy burden for the poor. Since the low-income patients first seek care at village health stations or township hospitals for cough, it is vital to involve the general health system in the DOTS project.</abstract><cop>London, England</cop><pub>Taylor & Francis</pub><pmid>17786803</pmid><doi>10.1080/14034940601160664</doi><tpages>7</tpages></addata></record> |
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| source | Access via SAGE; MEDLINE; Applied Social Sciences Index & Abstracts (ASSIA); JSTOR Archive Collection A-Z Listing; Alma/SFX Local Collection |
| subjects | Access Adolescent Adult Aged Bacterial diseases barriers to care Biological and medical sciences Care Sciences China Chronic Disease Cost of Illness Cough - diagnosis Cross-Sectional Studies Directly observed therapy Female Health Services Accessibility - economics Human bacterial diseases Humans Infectious diseases Insurance, Health - economics Interviews as Topic Male Medical sciences Medicin och hälsovetenskap Middle Aged Miscellaneous ORIGINAL ARTICLES Patient Acceptance of Health Care Pneumology Public health. Hygiene Public health. Hygiene-occupational medicine Respiratory system : syndromes and miscellaneous diseases Rural areas Rural Population Surveys and Questionnaires Tuberculosis Tuberculosis and atypical mycobacterial infections Tuberculosis, Pulmonary - diagnosis Tuberculosis, Pulmonary - drug therapy Tuberculosis, Pulmonary - economics Tuberculosis, Pulmonary - prevention & control vårdvetenskap |
| title | Access to tuberculosis care: What did chronic cough patients experience in the way of healthcare-seeking? |
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