A New Method to Directly Observe Tuberculosis Treatment: Skype Observed Therapy, a Patient-Centered Approach
| Autor: | Celina Cabello, Tavora Buchman |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Tuberculosis 020205 medical informatics Standard of Good Practice MEDLINE Antitubercular Agents New York Context (language use) 02 engineering and technology Medication Adherence 03 medical and health sciences 0302 clinical medicine Patient-Centered Care 0202 electrical engineering electronic engineering information engineering medicine Humans 030212 general & internal medicine Directly Observed Therapy Internet Cost–benefit analysis business.industry Health Policy Communication Public Health Environmental and Occupational Health medicine.disease Surgery Emergency medicine Tuberculosis control business Patient centered |
| Zdroj: | Journal of public health management and practice : JPHMP. 23(2) |
| ISSN: | 1550-5022 |
| Popis: | Context Tuberculosis (TB) treatment completion is in part determined by patient's adherence to long-term drug regimens. To best ensure compliance, directly observed therapy (DOT) is considered the standard of practice. Nassau County Department of Health TB Control is responsible for providing DOT to patients with TB. Objective Tuberculosis Control sought to use and evaluate Skype Observed Therapy (SOT) as an alternative to DOT for eligible patients. Design The evaluation included analysis of patient's acceptance and adherence to drug regimen using SOT. Tuberculosis Control assessed staff efficiency and cost savings for this program. Main outcome measures Percentages of SOT of patients and successful SOT visits, mileage, and travel time savings. Results Twenty percent of the caseload used SOT and 100% of patients who were eligible opted in. Average SOT success was 79%. Total mileage savings and time saved were $9,929.07 and 614 hours. Conclusions Because SOT saves cost and time and is a suitable alternative to DOT for patients, it should be considered as part of new policies and practices in TB control programs. |
| Databáze: | OpenAIRE |
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