Majumdar, Suman, Myburgh, Hanlie ORCID: 0000-0001-9192-1662 , Baloyi, Dzunisani, Loveday, Marian ORCID: 0000-0001-9205-9314 , Meehan, Sue-Ann ORCID: 0000-0002-0826-1833 , Osman, Muhammad ORCID: 0000-0003-3818-9729 , Wademan, Dillon, Hesseling, Anneke and Hoddinott, Graeme (2023) A scoping review of patient-centred tuberculosis care interventions: gaps and opportunities. PLoS Global Public Health, 3 (2):e0001357. pp. 1-16. ISSN 2767-3375 (Online) (doi:https://doi.org/10.1371/journal.pgph.0001357)

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Abstract

Tuberculosis (TB) is a leading cause of death globally. In 2015, the World Health Organization hailed patient-centred care as the first of three pillars in the End TB strategy. Few examples of how to deliver patient-centred care in TB programmes exist in practice; TB control efforts have historically prioritised health systems structures and processes, with little consideration for the experiences of people affected by TB. We aimed to describe how patient-centred care interventions have been implemented for TB, highlighting gaps and opportunities. We conducted a scoping review of the published peer-reviewed research literature and grey literature on patient-centred TB care interventions between January 2005 and March 2020. We found limited information on implementing patient-centred care for TB programmes (13 research articles, 7 project reports, and 19 conference abstracts). Patient-centred TB care was implemented primarily as a means to improve adherence, reduce loss to follow-up, and improve treatment outcomes. Interventions focused on education and information for people affected by TB, and psychosocial, and socioeconomic support. Few patient-centred TB care interventions focused on screening, diagnosis, or treatment initiation. Patient-centred TB care has to go beyond programmatic improvements and requires recognition of the diverse needs of people affected by TB to provide holistic care in all aspects of TB prevention, care, and treatment.

Item Type:	Article
Uncontrolled Keywords:	patient-centre care; tuberculosis interventions; opportunties
Subjects:	B Philosophy. Psychology. Religion > BF Psychology R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RT Nursing
Faculty / School / Research Centre / Research Group:	Faculty of Education, Health & Human Sciences Faculty of Education, Health & Human Sciences > Institute for Lifecourse Development Faculty of Education, Health & Human Sciences > Institute for Lifecourse Development > Centre for Vulnerable Children and Families Faculty of Education, Health & Human Sciences > School of Human Sciences (HUM)
Last Modified:	20 Jun 2023 08:51
URI:	http://gala.gre.ac.uk/id/eprint/43019

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