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Conducting Patient-Pathway Analysis to Inform Programming of Tuberculosis Services: Methods.

Hanson, Christy L; Osberg, Mike; Brown, Jessie; Durham, George; Chin, Daniel P.
J Infect Dis; 216(suppl_7): S679-S685, 2017 11 06.
Artigo em Inglês | MEDLINE | ID: mdl-29117350
Patient-centered care is a central pillar of the World Health Organization's End TB Strategy. Understanding where patients access health services is a first step to planning for the placement of services to meet patient needs and preferences. The patient-pathway analysis (PPA) methodology detailed in this article was developed to better understand the alignment between patient care seeking and tuberculosis service availability. A PPA describes the steps that people with tuberculosis take from the initial care visit to cure. The results of a PPA reveal programmatic gaps in care seeking, diagnosis, treatment initiation, and continuity of care. They can be used as inputs to an evidence-based process of identifying and developing interventions to address the gaps in patient care. This paper summarizes the steps to conduct a PPA and serves as the basis for understanding country case studies that profile the use of PPA.
Selo DaSilva