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Improving Treatment Adherence with Integrated Patient Management for TB Patients in Morocco

In Morocco, there are challenges in the management of high-risk tuberculosis (TB) patients, including paper-based management and a shortage of healthcare workers related to TB. Additionally, TB management has not been accounted for in various patient types, which affects treatment adherence. This st...

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Autores principales: Park, Seup, Moon, Narae, Oh, Byungkwon, Park, Miyeon, Kang, Kilho, Sentissi, Ilham, Bae, Sung-Heui
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8507615/
https://www.ncbi.nlm.nih.gov/pubmed/34639291
http://dx.doi.org/10.3390/ijerph18199991
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author Park, Seup
Moon, Narae
Oh, Byungkwon
Park, Miyeon
Kang, Kilho
Sentissi, Ilham
Bae, Sung-Heui
author_facet Park, Seup
Moon, Narae
Oh, Byungkwon
Park, Miyeon
Kang, Kilho
Sentissi, Ilham
Bae, Sung-Heui
author_sort Park, Seup
collection PubMed
description In Morocco, there are challenges in the management of high-risk tuberculosis (TB) patients, including paper-based management and a shortage of healthcare workers related to TB. Additionally, TB management has not been accounted for in various patient types, which affects treatment adherence. This study aims to examine the delivery model of TB management and the outcomes of an integrated patient management system that uses a patient-centered and community-based approach, along with mobile health technology. A total of 3605 TB patients were enrolled in this program in Morocco’s five prefectures (Rabat, Salé, Kénitra, Khemisset, Skhirat–Témara) from January 2018 to December 2019. Patients were managed based on demographic characteristics, socioeconomic status, areas (rural or urban), health literacy levels, and distance to primary health centers. Our mobile health intervention “smart pillbox” was interposed with high-risk TB patients, along with patient education. The rate of successful treatment was 92.2%, which was higher than the national rate (88%). The “lost to follow-up” rate was 4.1%, which was significantly lower than the existing non-adherence rate of 7.9%. Therefore, integrated patient management for TB patients in Morocco is more effective than the existing conventional programs. This comprehensive approach provides an alternative method for countries with limited resources.
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spelling pubmed-85076152021-10-13 Improving Treatment Adherence with Integrated Patient Management for TB Patients in Morocco Park, Seup Moon, Narae Oh, Byungkwon Park, Miyeon Kang, Kilho Sentissi, Ilham Bae, Sung-Heui Int J Environ Res Public Health Article In Morocco, there are challenges in the management of high-risk tuberculosis (TB) patients, including paper-based management and a shortage of healthcare workers related to TB. Additionally, TB management has not been accounted for in various patient types, which affects treatment adherence. This study aims to examine the delivery model of TB management and the outcomes of an integrated patient management system that uses a patient-centered and community-based approach, along with mobile health technology. A total of 3605 TB patients were enrolled in this program in Morocco’s five prefectures (Rabat, Salé, Kénitra, Khemisset, Skhirat–Témara) from January 2018 to December 2019. Patients were managed based on demographic characteristics, socioeconomic status, areas (rural or urban), health literacy levels, and distance to primary health centers. Our mobile health intervention “smart pillbox” was interposed with high-risk TB patients, along with patient education. The rate of successful treatment was 92.2%, which was higher than the national rate (88%). The “lost to follow-up” rate was 4.1%, which was significantly lower than the existing non-adherence rate of 7.9%. Therefore, integrated patient management for TB patients in Morocco is more effective than the existing conventional programs. This comprehensive approach provides an alternative method for countries with limited resources. MDPI 2021-09-23 /pmc/articles/PMC8507615/ /pubmed/34639291 http://dx.doi.org/10.3390/ijerph18199991 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Park, Seup
Moon, Narae
Oh, Byungkwon
Park, Miyeon
Kang, Kilho
Sentissi, Ilham
Bae, Sung-Heui
Improving Treatment Adherence with Integrated Patient Management for TB Patients in Morocco
title Improving Treatment Adherence with Integrated Patient Management for TB Patients in Morocco
title_full Improving Treatment Adherence with Integrated Patient Management for TB Patients in Morocco
title_fullStr Improving Treatment Adherence with Integrated Patient Management for TB Patients in Morocco
title_full_unstemmed Improving Treatment Adherence with Integrated Patient Management for TB Patients in Morocco
title_short Improving Treatment Adherence with Integrated Patient Management for TB Patients in Morocco
title_sort improving treatment adherence with integrated patient management for tb patients in morocco
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8507615/
https://www.ncbi.nlm.nih.gov/pubmed/34639291
http://dx.doi.org/10.3390/ijerph18199991
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