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

Emerging Health Threats Journal

View Publication Info
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 -
Publisher Emerging Health Threats Journal
Contributor No financial support
Date 2014-08-26
Type info:eu-repo/semantics/article

Qualitative research
Format application/pdf
Source Emerging Health Threats Journal; Vol 7 (2014) incl Supplements
Language eng
Coverage Northern Europe, Russia

middle age, both genders

Contact Us

The PKP Index is an initiative of the Public Knowledge Project.

For PKP Publishing Services please use the PKP|PS contact form.

For support with PKP software we encourage users to consult our wiki for documentation and search our support forums.

For any other correspondence feel free to contact us using the PKP contact form.

Find Us


Copyright © 2015-2018 Simon Fraser University Library