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Open Access The treatment journey of a patient with multidrug-resistant tuberculosis in South Africa: is it patient-centred? [Notes from the field]

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Abstract:

To improve the treatment of patients co-infected with multidrug-resistant tuberculosis (MDR-TB) and the human immunodeficiency virus, we measured the relationship between treatment outcomes and hospital performance at four decentralised MDR-TB sites in South Africa. We describe hospital performance from the patient's perspective by the use of a graphic that visually represents a patient's treatment journey. The graphic was used to report study findings to study sites and as a catalyst for a quality improvement process.

Keywords: MDR-TB treatment; health systems; patient-centred

Document Type: Research Article

DOI: https://doi.org/10.5588/ijtld.13.0101

Affiliations: 1: Health Systems Research Unit, Medical Research Council, Cape Town, South Africa; Discipline of Public Health Medicine, University of KwaZulu-Natal, Durban, South Africa 2: Centre for the AIDS Programme of Research in South Africa (CAPRISA), Durban, South Africa 3: Discipline of Public Health Medicine, University of KwaZulu-Natal, Durban, South Africa 4: Department of Medicine, Montefiore Medical Center & Albert Einstein College of Medicine, Bronx, New York, USA 5: KwaZulu-Natal Research Institute for Tuberculosis and HIV, Durban, South Africa

Publication date: 2013-10-01

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  • The International Journal of Tuberculosis and Lung Disease publishes articles on all aspects of lung health, including public health-related issues such as training programmes, cost-benefit analysis, legislation, epidemiology, intervention studies and health systems research. The IJTLD is dedicated to the continuing education of physicians and health personnel and the dissemination of information on tuberculosis and lung health world-wide.

    Certain IJTLD articles are selected for translation into French, Spanish, Chinese or Russian. They are available on the Union website

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