2.50
Hdl Handle:
http://hdl.handle.net/10755/150898
Type:
Presentation
Title:
Perspective of Successful Tuberculosis Treatment in Argentina
Abstract:
Perspective of Successful Tuberculosis Treatment in Argentina
Conference Sponsor:Sigma Theta Tau International
Conference Year:2011
Author:Iribarren, Sarah J., RN
P.I. Institution Name:University of Utah
Title:PhD student
Co-Authors:Patricia Flannery Pearce MPH, PhD, APRN-FNP, Assistant Professor
Fernando Rubinstein MD, MPH, Academic Director, Master Program of Clinical Effectiveness, University of Buenos Aires. Associate Professor of Public Health, S
Vilda Discacciati MD, MD, Resear
[22nd International Nursing Research Congress - Research Presentation] Purpose: Tuberculosis (TB) remains a major public health problem globally, including in Argentina, where treatment success rates are well below WHO recommendations.  The purpose of this research was to identify treatment strategies and explore barriers/facilitators to successful treatment in a high TB burden health region in Argentina.
Methods:  Descriptive qualitative research was conducted using semi-structured in-depth interviews with key TB personnel (physicians, nurses, and social workers), TB program local, regional and national directors, and patients/family members.  Participants (N=42) were from five health districts within a high TB burden Health Region in Buenos Aires, Argentina.
Results: Treatment strategies varied and were negotiated in order to maintain patients in treatment (e.g. direct observation of treatment (DOT) daily, during the week, and negotiated or personalized).  Self-administration of treatment was primarily at hospital-based clinics. Most active TB cases were treated at hospitals, rather than the local healthcare centers. A wide range of factors (N=37) classified as barriers and facilitators to TB treatment success were identified. Factors were classified into three main categories; personal (patient and healthcare personnel, e.g., lack of understanding/knowledge of TB), social (e.g., support, trust), and system or organizational factors (e.g., service availability, accessibility). Multiple examples of patient-centered care and creative strategies to overcome barriers were identified (e.g. provision of DOT without appointment and through separate door). Main themes of commitment, continuity and collaboration were identified.
Conclusion: Findings include barriers that potentially contribute to the overall persistent low rates of treatment success in Argentina.  Some of the barriers identified by patients were overcome by communication and relationships established with healthcare personnel.  DOT was described as a broader package of support in which healthcare personnel characteristics, provision of food, or other provider-patient interactions play a vital role.  Findings have implication for practice and research, including collaboration with health systems of neighboring countries.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titlePerspective of Successful Tuberculosis Treatment in Argentinaen_GB
dc.identifier.urihttp://hdl.handle.net/10755/150898-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Perspective of Successful Tuberculosis Treatment in Argentina</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2011</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Iribarren, Sarah J., RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Utah</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">PhD student</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">sjhiribarren@gmail.com</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Patricia Flannery Pearce MPH, PhD, APRN-FNP, Assistant Professor<br/>Fernando Rubinstein MD, MPH, Academic Director, Master Program of Clinical Effectiveness, University of Buenos Aires. Associate Professor of Public Health, S<br/>Vilda Discacciati MD, MD, Resear</td></tr><tr><td colspan="2" class="item-abstract">[22nd International Nursing Research Congress - Research Presentation] Purpose: Tuberculosis (TB) remains a major public health problem globally, including in Argentina, where treatment success rates are well below WHO recommendations.&nbsp; The purpose of this research was to identify treatment strategies and explore barriers/facilitators to successful treatment in a high TB burden health region in Argentina. <br/>Methods:&nbsp; Descriptive qualitative research was conducted using semi-structured in-depth interviews with key TB personnel (physicians, nurses, and social workers), TB program local, regional and national directors, and patients/family members.&nbsp; Participants (N=42) were from five health districts within a high TB burden Health Region in Buenos Aires, Argentina. <br/>Results: Treatment strategies varied and were negotiated in order to maintain patients in treatment (e.g. direct observation of treatment (DOT) daily, during the week, and negotiated or personalized).&nbsp; Self-administration of treatment was primarily at hospital-based clinics. Most active TB cases were treated at hospitals, rather than the local healthcare centers. A wide range of factors (N=37) classified as barriers and facilitators to TB treatment success were identified. Factors were classified into three main categories; personal (patient and healthcare personnel, e.g., lack of understanding/knowledge of TB), social (e.g., support, trust), and system or organizational factors (e.g., service availability, accessibility). Multiple examples of patient-centered care and creative strategies to overcome barriers were identified (e.g. provision of DOT without appointment and through separate door). Main themes of commitment, continuity and collaboration were identified. <br/>Conclusion: Findings include barriers that potentially contribute to the overall persistent low rates of treatment success in Argentina.&nbsp; Some of the barriers identified by patients were overcome by communication and relationships established with healthcare personnel.&nbsp; DOT was described as a broader package of support in which healthcare personnel characteristics, provision of food, or other provider-patient interactions play a vital role.&nbsp; Findings have implication for practice and research, including collaboration with health systems of neighboring countries.</td></tr></table>en_GB
dc.date.available2011-10-26T10:45:57Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:45:57Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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