American journal of public health · 1998
The influence of program acceptability on the effectiveness of public health policy: a study of directly observed therapy for tuberculosis.
СтатьяПоддержка исследования: вне правительства СШАПоддержка службы здравоохранения СШАНазвание и аннотация: Перевод в очереди
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Heymann S J, Sell R, Brewer T F
Аннотация
OBJECTIVES: This study examined how patient acceptability influences the effectiveness of directly observed therapy for tuberculosis.
METHODS: Decision and sensitivity analyses were used in assessing influences.
RESULTS: If mandatory directly observed therapy discourages 6% of initial tuberculosis patients (range: 4% to 10%) from seeking care, then such therapy will be less effective than self-administered therapy. Directly observed therapy is more effective than repeated self-administered therapy for patients failing to complete initial treatment unless 32% (range: 27% to 38%) of patients avoid seeking care.
CONCLUSIONS: Patient acceptability must be taken into consideration before selecting public health strategies.
METHODS: Decision and sensitivity analyses were used in assessing influences.
RESULTS: If mandatory directly observed therapy discourages 6% of initial tuberculosis patients (range: 4% to 10%) from seeking care, then such therapy will be less effective than self-administered therapy. Directly observed therapy is more effective than repeated self-administered therapy for patients failing to complete initial treatment unless 32% (range: 27% to 38%) of patients avoid seeking care.
CONCLUSIONS: Patient acceptability must be taken into consideration before selecting public health strategies.