Quality of tuberculosis care in high burden countries: the urgent need to address gaps in the care cascade
Despite the high coverage of directly observed treatment short-course (DOTS), tuberculosis (TB) continues to affect 10.4 million people each year, and kills 1.8 million. High TB mortality, the large number of missing TB cases, the emergence of severe forms of drug resistance, and the slow decline in...
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| Format: | Article |
| Language: | English |
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Elsevier
2017-03-01
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| Series: | International Journal of Infectious Diseases |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1201971216312000 |
| _version_ | 1818366644284555264 |
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| author | Danielle Cazabon Hannah Alsdurf Srinath Satyanarayana Ruvandhi Nathavitharana Ramnath Subbaraman Amrita Daftary Madhukar Pai |
| author_facet | Danielle Cazabon Hannah Alsdurf Srinath Satyanarayana Ruvandhi Nathavitharana Ramnath Subbaraman Amrita Daftary Madhukar Pai |
| author_sort | Danielle Cazabon |
| collection | DOAJ |
| description | Despite the high coverage of directly observed treatment short-course (DOTS), tuberculosis (TB) continues to affect 10.4 million people each year, and kills 1.8 million. High TB mortality, the large number of missing TB cases, the emergence of severe forms of drug resistance, and the slow decline in TB incidence indicate that merely expanding the coverage of TB services is insufficient to end the epidemic. In the era of the End TB Strategy, we need to think beyond coverage and start focusing on the quality of TB care that is routinely offered to patients in high burden countries, in both public and private sectors. In this review, current evidence on the quality of TB care in high burden countries, major gaps in the quality of care, and some novel efforts to measure and improve the quality of care are described. Based on systematic reviews on the quality of TB care or surrogates of quality (e.g., TB diagnostic delays), analyses of TB care cascades, and newer studies that directly measure quality of care, it is shown that the quality of care in both the public and private sector falls short of international standards and urgently needs improvement. National TB programs will therefore need to systematically measure and improve quality of TB care and invest in quality improvement programs. |
| first_indexed | 2024-12-13T22:39:26Z |
| format | Article |
| id | doaj.art-27bdcfc6de3a409786402fd903925e33 |
| institution | Directory Open Access Journal |
| issn | 1201-9712 1878-3511 |
| language | English |
| last_indexed | 2024-12-13T22:39:26Z |
| publishDate | 2017-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Journal of Infectious Diseases |
| spelling | doaj.art-27bdcfc6de3a409786402fd903925e332022-12-21T23:28:53ZengElsevierInternational Journal of Infectious Diseases1201-97121878-35112017-03-0156C11111610.1016/j.ijid.2016.10.016Quality of tuberculosis care in high burden countries: the urgent need to address gaps in the care cascadeDanielle Cazabon0Hannah Alsdurf1Srinath Satyanarayana2Ruvandhi Nathavitharana3Ramnath Subbaraman4Amrita Daftary5Madhukar Pai6McGill International TB Centre, McGill University, 1020 Pine Ave West, Montreal, QC H3A 1A2, CanadaMcGill International TB Centre, McGill University, 1020 Pine Ave West, Montreal, QC H3A 1A2, CanadaMcGill International TB Centre, McGill University, 1020 Pine Ave West, Montreal, QC H3A 1A2, CanadaDivision of Infectious Diseases, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USADivision of Infectious Diseases, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, USAMcGill International TB Centre, McGill University, 1020 Pine Ave West, Montreal, QC H3A 1A2, CanadaMcGill International TB Centre, McGill University, 1020 Pine Ave West, Montreal, QC H3A 1A2, CanadaDespite the high coverage of directly observed treatment short-course (DOTS), tuberculosis (TB) continues to affect 10.4 million people each year, and kills 1.8 million. High TB mortality, the large number of missing TB cases, the emergence of severe forms of drug resistance, and the slow decline in TB incidence indicate that merely expanding the coverage of TB services is insufficient to end the epidemic. In the era of the End TB Strategy, we need to think beyond coverage and start focusing on the quality of TB care that is routinely offered to patients in high burden countries, in both public and private sectors. In this review, current evidence on the quality of TB care in high burden countries, major gaps in the quality of care, and some novel efforts to measure and improve the quality of care are described. Based on systematic reviews on the quality of TB care or surrogates of quality (e.g., TB diagnostic delays), analyses of TB care cascades, and newer studies that directly measure quality of care, it is shown that the quality of care in both the public and private sector falls short of international standards and urgently needs improvement. National TB programs will therefore need to systematically measure and improve quality of TB care and invest in quality improvement programs.http://www.sciencedirect.com/science/article/pii/S1201971216312000TuberculosisQuality of careCascade of careQuality improvementStandards for TB care |
| spellingShingle | Danielle Cazabon Hannah Alsdurf Srinath Satyanarayana Ruvandhi Nathavitharana Ramnath Subbaraman Amrita Daftary Madhukar Pai Quality of tuberculosis care in high burden countries: the urgent need to address gaps in the care cascade International Journal of Infectious Diseases Tuberculosis Quality of care Cascade of care Quality improvement Standards for TB care |
| title | Quality of tuberculosis care in high burden countries: the urgent need to address gaps in the care cascade |
| title_full | Quality of tuberculosis care in high burden countries: the urgent need to address gaps in the care cascade |
| title_fullStr | Quality of tuberculosis care in high burden countries: the urgent need to address gaps in the care cascade |
| title_full_unstemmed | Quality of tuberculosis care in high burden countries: the urgent need to address gaps in the care cascade |
| title_short | Quality of tuberculosis care in high burden countries: the urgent need to address gaps in the care cascade |
| title_sort | quality of tuberculosis care in high burden countries the urgent need to address gaps in the care cascade |
| topic | Tuberculosis Quality of care Cascade of care Quality improvement Standards for TB care |
| url | http://www.sciencedirect.com/science/article/pii/S1201971216312000 |
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