Addressing patients' unmet needs related to multidrug-resistant tuberculosis (MDR-TB) care: A qualitative research study from Pune city, India.
Sachin AtreJayshri JagtapMujtaba FaqihYogita DumbareTrupti SawantSunil AmbikeMaha FarhatPublished in: PloS one (2023)
Using qualitative data from experiences of participants with MDR-TB, we identify patients' several unmet needs, attention to which can improve MDR-TB care. Educating private providers about MDR-TB risk and available rapid molecular assays can help the timely diagnosis of MDR-TB and reduce patients' out of pocket costs. At the RNTCP/NTEP, measures such as training health workers to build rapport with patients, maintaining hygienic environments in the health centers with adequate isolation of participants with MDR from other serious cases, referral of patients with psychiatric symptoms to mental health specialists and monitoring drug shortages can help in improving care delivery.
Keyphrases
- multidrug resistant
- mental health
- end stage renal disease
- healthcare
- ejection fraction
- newly diagnosed
- mycobacterium tuberculosis
- chronic kidney disease
- peritoneal dialysis
- public health
- primary care
- emergency department
- systematic review
- quality improvement
- high throughput
- patient reported outcomes
- gram negative
- electronic health record
- klebsiella pneumoniae
- working memory
- single cell
- mental illness
- drug induced
- pulmonary tuberculosis
- data analysis