Social support and incentives programme for patients with tuberculosis: experience from the Russian Federation.
| Autor: | Jakubowiak WM; WHO TB Control Programme in the Russian Federation, Office of the Special Representative of the WHO Director-General in Russia, Moscow, Russian Federation. w.jakubowiak@who.org.ru, Bogorodskaya EM, Borisov SE, Danilova ID, Lomakina OB, Kourbatova EV |
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| Jazyk: | angličtina |
| Zdroj: | The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease [Int J Tuberc Lung Dis] 2007 Nov; Vol. 11 (11), pp. 1210-5. |
| Abstrakt: | Setting: Tuberculosis (TB) services including social support and incentive programmes in four Russian regions (Orel, Vladimir, Belgorod Oblasts and Republic of Mari-El). Objectives: To determine reasons for TB treatment default among non-adherent patients and to describe patient views of social support programmes and the organisation of treatment. Methods: Standard anonymous questionnaires were administered to new pulmonary TB patients registered for treatment. Results: A total of 87 non-adherent patients and 1302 adherent patients were interviewed. The leading reasons for treatment default given by non-adherent patients were the need to earn money (30%), alcohol use (30%) and not perceiving themselves as being sick (25%). Monetary incentives were preferred by the majority of patients (67%), followed by food/hot meals (41%) and transportation reimbursement (32%). Overall, among the proposed social support programmes, those that offered small daily incentives (23%) or a big final bonus (21%) were the most popular. The majority of patients (67%) preferred out-patient treatment. Conclusion: Collaboration between TB services and social organisations and substance abuse services as well as availability of psychological testing/counselling for patients are social support modalities for improving adherence suggested by study findings. Social support should be combined with a patient-centred approach to TB treatment. |
| Databáze: | MEDLINE |
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