"Treatment is of primary importance, and social assistance is secondary": A qualitative study on the organisation of tuberculosis (TB) care and patients' experience of starting and staying on TB treatment in Riga, Latvia.
Karina KielmannNicole VidalVija RiekstinaMaria KrutikovMarieke J van der WerfEvita BirauaPredrag DuricDavid A J MoorePublished in: PloS one (2018)
Providing support for vulnerable patients is challenged in this setting by the strict division between medical and social aspects of TB care, and the organisational focus on patient-related rather than systems-related barriers to access and adherence. Potential systems interventions include the introduction of multi-disciplinary approaches and teams in TB care, strengthening patient literacy at the point of treatment initiation, as well as stronger linkages with social care organisations.
Keyphrases
- healthcare
- end stage renal disease
- mycobacterium tuberculosis
- palliative care
- ejection fraction
- chronic kidney disease
- newly diagnosed
- quality improvement
- peritoneal dialysis
- mental health
- prognostic factors
- case report
- physical activity
- pain management
- patient reported outcomes
- emergency department
- adipose tissue
- skeletal muscle
- metabolic syndrome
- risk assessment
- hiv infected
- patient reported
- hiv aids
- chronic pain
- health information