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Person-centered strategies for delivering TB diagnostic services in Lima, Peru

SETTING: Lima, Peru. OBJECTIVE: To close the gap in TB diagnosis, TB diagnostic services must match care-seeking preferences. We sought to identify preferred strategies for delivering TB diagnostic services and to determine whether preferences differ among demographic groups. DESIGN: During May 2022...

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Autores principales: Yuen, C. M., Millones, A. K., Acosta, D., Torres, I., Farroñay, S., Jimenez, J., Lecca, L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Union Against Tuberculosis and Lung Disease 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10446665/
https://www.ncbi.nlm.nih.gov/pubmed/37736576
http://dx.doi.org/10.5588/pha.23.0036
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author Yuen, C. M.
Millones, A. K.
Acosta, D.
Torres, I.
Farroñay, S.
Jimenez, J.
Lecca, L.
author_facet Yuen, C. M.
Millones, A. K.
Acosta, D.
Torres, I.
Farroñay, S.
Jimenez, J.
Lecca, L.
author_sort Yuen, C. M.
collection PubMed
description SETTING: Lima, Peru. OBJECTIVE: To close the gap in TB diagnosis, TB diagnostic services must match care-seeking preferences. We sought to identify preferred strategies for delivering TB diagnostic services and to determine whether preferences differ among demographic groups. DESIGN: During May 2022–January 2023, we recruited adults who recently initiated treatment for pulmonary TB. We used an object-case best-worst scaling instrument to assess the desirability of nine hypothetical strategies for delivering TB diagnostic services. A t-test was used to assess differences in preference scores between groups. RESULTS: Among 150 participants, the strategies with the highest preference scores were an integrated mobile unit offering screening for multiple conditions, expedited attention at the health center, and home-based screening. These were strongly preferred by 42%, 25%, and 27% of participants, respectively, and 80% of participants strongly preferred at least one of the three. Expedited attention at the health center scored more highly among people who experienced >2 months delay in TB diagnosis compared to those who experienced a more rapid diagnosis (0.37 ± 0.06 vs. 0.17 ± 0.06; P = 0.031). CONCLUSION: Providing person-centered TB diagnostic services at diverse access points could help reach different populations, which could promote early diagnosis and help close the diagnosis gap.
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spelling pubmed-104466652023-09-21 Person-centered strategies for delivering TB diagnostic services in Lima, Peru Yuen, C. M. Millones, A. K. Acosta, D. Torres, I. Farroñay, S. Jimenez, J. Lecca, L. Public Health Action Original Articles SETTING: Lima, Peru. OBJECTIVE: To close the gap in TB diagnosis, TB diagnostic services must match care-seeking preferences. We sought to identify preferred strategies for delivering TB diagnostic services and to determine whether preferences differ among demographic groups. DESIGN: During May 2022–January 2023, we recruited adults who recently initiated treatment for pulmonary TB. We used an object-case best-worst scaling instrument to assess the desirability of nine hypothetical strategies for delivering TB diagnostic services. A t-test was used to assess differences in preference scores between groups. RESULTS: Among 150 participants, the strategies with the highest preference scores were an integrated mobile unit offering screening for multiple conditions, expedited attention at the health center, and home-based screening. These were strongly preferred by 42%, 25%, and 27% of participants, respectively, and 80% of participants strongly preferred at least one of the three. Expedited attention at the health center scored more highly among people who experienced >2 months delay in TB diagnosis compared to those who experienced a more rapid diagnosis (0.37 ± 0.06 vs. 0.17 ± 0.06; P = 0.031). CONCLUSION: Providing person-centered TB diagnostic services at diverse access points could help reach different populations, which could promote early diagnosis and help close the diagnosis gap. International Union Against Tuberculosis and Lung Disease 2023-09-21 2023-09-21 /pmc/articles/PMC10446665/ /pubmed/37736576 http://dx.doi.org/10.5588/pha.23.0036 Text en © 2023 The Union https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0 (https://creativecommons.org/licenses/by/4.0/) published by The Union (www.theunion.org (http://www.theunion.org) ).
spellingShingle Original Articles
Yuen, C. M.
Millones, A. K.
Acosta, D.
Torres, I.
Farroñay, S.
Jimenez, J.
Lecca, L.
Person-centered strategies for delivering TB diagnostic services in Lima, Peru
title Person-centered strategies for delivering TB diagnostic services in Lima, Peru
title_full Person-centered strategies for delivering TB diagnostic services in Lima, Peru
title_fullStr Person-centered strategies for delivering TB diagnostic services in Lima, Peru
title_full_unstemmed Person-centered strategies for delivering TB diagnostic services in Lima, Peru
title_short Person-centered strategies for delivering TB diagnostic services in Lima, Peru
title_sort person-centered strategies for delivering tb diagnostic services in lima, peru
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10446665/
https://www.ncbi.nlm.nih.gov/pubmed/37736576
http://dx.doi.org/10.5588/pha.23.0036
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