What Makes People With Chronic Illnesses Discontinue Treatment? A Practice Theory Informed Analysis of Adherence to Treatment among Patients With Drug-Resistant Tuberculosis in Pakistan.
Shazra AbbasMichelle KermodeMohammad Dost KhanJustin T DenholmHamed AdetunjiSumit KanePublished in: International journal of health policy and management (2023)
We argue that the lack of supply-side 'responsiveness' to patient needs beyond the provision of a few material inputs is what is lacking in the existing DR-TB program in Pakistan. We conclude that unless Pakistan's TB program explicitly engages with these supply side, system level gaps, patients will continue to struggle to adhere to their treatments and the TB program will continue to lose patients. Conceptually, we make a case for reimagining the act of adherence (or not) to long-term treatment as a 'Practice.'
Keyphrases
- drug resistant
- end stage renal disease
- mycobacterium tuberculosis
- quality improvement
- newly diagnosed
- healthcare
- chronic kidney disease
- primary care
- multidrug resistant
- peritoneal dialysis
- prognostic factors
- palliative care
- patient reported outcomes
- case report
- pseudomonas aeruginosa
- hepatitis c virus
- combination therapy
- adipose tissue
- drug induced
- patient reported