Drug-resistant tuberculosis patient care journeys in South Africa: A pilot study using routine laboratory data
| dc.contributor.author | Nicol, Mark P. | |
| dc.contributor.author | Hill, Jeremy | |
| dc.contributor.author | Dickson-Hall, Lindy | |
| dc.date.accessioned | 2021-01-20T09:02:45Z | |
| dc.date.available | 2021-01-20T09:02:45Z | |
| dc.date.issued | 2020 | |
| dc.description.abstract | hirteen districts in Eastern Cape (EC), KwaZulu-Natal (KZN) and Western Cape (WC) Provinces, South Africa. OBJECTIVE: To pilot a methodology for describing and visualising healthcare journeys among drug-resistant tuberculosis (DR-TB) patients using routine laboratory records. 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. 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. | en_US |
| dc.identifier.citation | Nicol, M. P. et al. (2020). Drug-resistant tuberculosis patient care journeys in South Africa: A pilot study using routine laboratory data. International Journal of Tuberculosis and Lung Disease, 24(1), 83-91 | en_US |
| dc.identifier.issn | 1815-7920 | |
| dc.identifier.uri | 10.5588/ijtld.19.0100 | |
| dc.identifier.uri | http://hdl.handle.net/10566/5693 | |
| dc.language.iso | en | en_US |
| dc.publisher | International Union Against Tuberculosis and Lung Disease (The Union) | en_US |
| dc.subject | GIS | en_US |
| dc.subject | Health systems | en_US |
| dc.subject | Patient-focused | en_US |
| dc.subject | Tuberculosis | en_US |
| dc.subject | Mapping | en_US |
| dc.title | Drug-resistant tuberculosis patient care journeys in South Africa: A pilot study using routine laboratory data | en_US |
| dc.type | Article | en_US |