Person-centered strategies for delivering TB diagnostic services in Lima, Peru.

Autor:	Yuen CM; Division of Global Health Equity, Brigham and Women's Hospital, Boston, MA, USA.; Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA., Millones AK; Socios En Salud Sucursal Peru, Lima, Peru., Acosta D; Socios En Salud Sucursal Peru, Lima, Peru., Torres I; Socios En Salud Sucursal Peru, Lima, Peru., Farroñay S; Socios En Salud Sucursal Peru, Lima, Peru., Jimenez J; Socios En Salud Sucursal Peru, Lima, Peru., Lecca L; Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA.; Socios En Salud Sucursal Peru, Lima, Peru.
Jazyk:	angličtina
Zdroj:	Public health action [Public Health Action] 2023 Sep 21; Vol. 13 (3), pp. 112-116.
DOI:	10.5588/pha.23.0036
Abstrakt:	Setting: Lima, Peru. Objective: To close the gap in TB diagnosis, TB diagnostic services must match care-seeking preferences. We sought to identify preferred strategies for delivering TB diagnostic services and to determine whether preferences differ among demographic groups. Design: During May 2022-January 2023, we recruited adults who recently initiated treatment for pulmonary TB. We used an object-case best-worst scaling instrument to assess the desirability of nine hypothetical strategies for delivering TB diagnostic services. A t -test was used to assess differences in preference scores between groups. Results: Among 150 participants, the strategies with the highest preference scores were an integrated mobile unit offering screening for multiple conditions, expedited attention at the health center, and home-based screening. These were strongly preferred by 42%, 25%, and 27% of participants, respectively, and 80% of participants strongly preferred at least one of the three. Expedited attention at the health center scored more highly among people who experienced >2 months delay in TB diagnosis compared to those who experienced a more rapid diagnosis (0.37 ± 0.06 vs. 0.17 ± 0.06; P = 0.031). Conclusion: Providing person-centered TB diagnostic services at diverse access points could help reach different populations, which could promote early diagnosis and help close the diagnosis gap. Competing Interests: Conflicts of interest: none declared. (© 2023 The Union.)
Databáze:	MEDLINE
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