Two vicious circles contributing to a diagnostic delay for tuberculosis patients in Arkhangelsk

Emerging Health Threats Journal

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Field Value
 
Title Two vicious circles contributing to a diagnostic delay for tuberculosis patients in Arkhangelsk
 
Creator Kuznetsov, Vladimir N.; University of Oslo
Grjibovski, Andrej M.; Norwegian Institute of Public Health
Mariandyshev, Andrej O.; Northern State Medical University
Johansson, Eva; Karolinska Institute
Bjune, Gunnar A.; University of Oslo
 
Subject Publich Health, Tuberculosis
tuberculosis; patient delay; health system delay; grounded theory
Subclass RA
 
Description Setting: Delay in tuberculosis (TB) diagnosis increases the infectious pool in the community and the risk of development of resistance of mycobacteria, which results in an increased number of deaths.Objective: To describe patients’ and doctors’ perceptions of diagnostic delay in TB patients in the Arkhangelsk region and to develop a substantive model to better understand the mechanisms of how these delays are linked to each other.Design: A grounded theory approach was used to study the phenomenon of diagnostic delay. Patients with TB diagnostic delay and doctors–phthisiatricians were interviewed.Results: A model named ‘sickness trajectory in health-seeking behaviour among tuberculosis patients’ was developed and included two core categories describing two vicious circles of diagnostic delay in patients with TB: ‘limited awareness of the importance to contact the health system’ and ‘limited resources of the health system’ and the categories: ‘factors influencing health-seeking behaviour’ and ‘factors influencing the health system effectiveness’. Men were more likely to report patient delay, while women were more likely to report health system delay.Conclusions: To involve people in early medical examinations, it is necessary to increase alertness on TB among patients and to improve health systems in the districts.Keywords: tuberculosis; patient delay; health system delay; grounded theoryResponsible Editor: Patrick Woo PhD, University of Hong Kong, Hong Kong.(Published: 26 August 2014)Citation: Emerging Health Threats J 2014, 7: 24909 - http://dx.doi.org/10.3402/ehtj.v7.24909
 
Publisher Emerging Health Threats Journal
 
Contributor No financial support
 
Date 2014-08-26
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion

Qualitative research
 
Format application/pdf
text/html
application/epub+zip
text/plain
 
Identifier http://journals.co-action.net/index.php/ehtj/article/view/24909
10.3402/ehtj.v7.24909
 
Source Emerging Health Threats Journal; Vol 7 (2014) incl Supplements
1752-8550
1752-8550
 
Language eng
 
Relation http://journals.co-action.net/index.php/ehtj/article/view/24909/35382
http://journals.co-action.net/index.php/ehtj/article/view/24909/35383
http://journals.co-action.net/index.php/ehtj/article/view/24909/35384
http://journals.co-action.net/index.php/ehtj/article/view/24909/35385
http://journals.co-action.net/index.php/ehtj/article/downloadSuppFile/24909/14313
http://journals.co-action.net/index.php/ehtj/article/downloadSuppFile/24909/14314
http://journals.co-action.net/index.php/ehtj/article/downloadSuppFile/24909/14315
http://journals.co-action.net/index.php/ehtj/article/downloadSuppFile/24909/15605
 
Coverage Northern Europe, Russia

middle age, both genders
 

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