Two vicious circles contributing to a diagnostic delay for tuberculosis patients in Arkhangelsk
Setting: Delay in tuberculosis (TB) diagnosis increases the infectious pool in the community and the risk of development of resistance of mycobacteria, which results in an increased number of deaths. Objective: To describe patients’ and doctors’ perceptions of diagnostic delay in TB patients in the...
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ftoslouniv:oai:www.duo.uio.no:10852/42030 2023-05-15T15:23:40+02:00 Two vicious circles contributing to a diagnostic delay for tuberculosis patients in Arkhangelsk Kuznetsov, Vladimir Grjibovski, Andrej Mariandyshev, Andreyi O Johansson, Eva Bjune, Gunnar Aksel 2014-09-04T17:34:18Z http://hdl.handle.net/10852/42030 http://urn.nb.no/URN:NBN:no-46420 https://doi.org/10.3402/ehtj.v7.24909 EN eng http://urn.nb.no/URN:NBN:no-46420 Kuznetsov, Vladimir Grjibovski, Andrej Mariandyshev, Andreyi O Johansson, Eva Bjune, Gunnar Aksel . Two vicious circles contributing to a diagnostic delay for tuberculosis patients in Arkhangelsk. Emerging Health Threats Jour. 2014, 7 http://hdl.handle.net/10852/42030 1151866 info:ofi/fmt:kev:mtx:ctx&ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Emerging Health Threats Jour&rft.volume=7&rft.spage=&rft.date=2014 Emerging Health Threats Jour 7 13 http://dx.doi.org/10.3402/ehtj.v7.24909 URN:NBN:no-46420 Fulltext https://www.duo.uio.no/bitstream/handle/10852/42030/2/Kuznetsov_2014_Two.pdf Attribution 4.0 International http://creativecommons.org/licenses/by/4.0/ CC-BY 1752-8550 VDP::Helsetjeneste- og helseadministrasjonsforskning: 806 Journal article Tidsskriftartikkel Peer reviewed PublishedVersion 2014 ftoslouniv https://doi.org/10.3402/ehtj.v7.24909 2020-06-21T08:48:09Z Setting: Delay in tuberculosis (TB) diagnosis increases the infectious pool in the community and the risk of development of resistance of mycobacteria, which results in an increased number of deaths. Objective: To describe patients’ and doctors’ perceptions of diagnostic delay in TB patients in the Arkhangelsk region and to develop a substantive model to better understand the mechanisms of how these delays are linked to each other. Design: A grounded theory approach was used to study the phenomenon of diagnostic delay. Patients with TB diagnostic delay and doctors–phthisiatricians were interviewed. Results: A model named ‘sickness trajectory in health-seeking behaviour among tuberculosis patients’ was developed and included two core categories describing two vicious circles of diagnostic delay in patients with TB: ‘limited awareness of the importance to contact the health system’ and ‘limited resources of the health system’ and the categories: ‘factors influencing health-seeking behaviour’ and ‘factors influencing the health system effectiveness’. Men were more likely to report patient delay, while women were more likely to report health system delay. Conclusions: To involve people in early medical examinations, it is necessary to increase alertness on TB among patients and to improve health systems in the districts. Article in Journal/Newspaper Arkhangelsk Universitet i Oslo: Digitale utgivelser ved UiO (DUO) Emerging Health Threats Journal 7 1 24909 |
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Universitet i Oslo: Digitale utgivelser ved UiO (DUO) |
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English |
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VDP::Helsetjeneste- og helseadministrasjonsforskning: 806 |
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VDP::Helsetjeneste- og helseadministrasjonsforskning: 806 Kuznetsov, Vladimir Grjibovski, Andrej Mariandyshev, Andreyi O Johansson, Eva Bjune, Gunnar Aksel Two vicious circles contributing to a diagnostic delay for tuberculosis patients in Arkhangelsk |
topic_facet |
VDP::Helsetjeneste- og helseadministrasjonsforskning: 806 |
description |
Setting: Delay in tuberculosis (TB) diagnosis increases the infectious pool in the community and the risk of development of resistance of mycobacteria, which results in an increased number of deaths. Objective: To describe patients’ and doctors’ perceptions of diagnostic delay in TB patients in the Arkhangelsk region and to develop a substantive model to better understand the mechanisms of how these delays are linked to each other. Design: A grounded theory approach was used to study the phenomenon of diagnostic delay. Patients with TB diagnostic delay and doctors–phthisiatricians were interviewed. Results: A model named ‘sickness trajectory in health-seeking behaviour among tuberculosis patients’ was developed and included two core categories describing two vicious circles of diagnostic delay in patients with TB: ‘limited awareness of the importance to contact the health system’ and ‘limited resources of the health system’ and the categories: ‘factors influencing health-seeking behaviour’ and ‘factors influencing the health system effectiveness’. Men were more likely to report patient delay, while women were more likely to report health system delay. Conclusions: To involve people in early medical examinations, it is necessary to increase alertness on TB among patients and to improve health systems in the districts. |
format |
Article in Journal/Newspaper |
author |
Kuznetsov, Vladimir Grjibovski, Andrej Mariandyshev, Andreyi O Johansson, Eva Bjune, Gunnar Aksel |
author_facet |
Kuznetsov, Vladimir Grjibovski, Andrej Mariandyshev, Andreyi O Johansson, Eva Bjune, Gunnar Aksel |
author_sort |
Kuznetsov, Vladimir |
title |
Two vicious circles contributing to a diagnostic delay for tuberculosis patients in Arkhangelsk |
title_short |
Two vicious circles contributing to a diagnostic delay for tuberculosis patients in Arkhangelsk |
title_full |
Two vicious circles contributing to a diagnostic delay for tuberculosis patients in Arkhangelsk |
title_fullStr |
Two vicious circles contributing to a diagnostic delay for tuberculosis patients in Arkhangelsk |
title_full_unstemmed |
Two vicious circles contributing to a diagnostic delay for tuberculosis patients in Arkhangelsk |
title_sort |
two vicious circles contributing to a diagnostic delay for tuberculosis patients in arkhangelsk |
publishDate |
2014 |
url |
http://hdl.handle.net/10852/42030 http://urn.nb.no/URN:NBN:no-46420 https://doi.org/10.3402/ehtj.v7.24909 |
genre |
Arkhangelsk |
genre_facet |
Arkhangelsk |
op_source |
1752-8550 |
op_relation |
http://urn.nb.no/URN:NBN:no-46420 Kuznetsov, Vladimir Grjibovski, Andrej Mariandyshev, Andreyi O Johansson, Eva Bjune, Gunnar Aksel . Two vicious circles contributing to a diagnostic delay for tuberculosis patients in Arkhangelsk. Emerging Health Threats Jour. 2014, 7 http://hdl.handle.net/10852/42030 1151866 info:ofi/fmt:kev:mtx:ctx&ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Emerging Health Threats Jour&rft.volume=7&rft.spage=&rft.date=2014 Emerging Health Threats Jour 7 13 http://dx.doi.org/10.3402/ehtj.v7.24909 URN:NBN:no-46420 Fulltext https://www.duo.uio.no/bitstream/handle/10852/42030/2/Kuznetsov_2014_Two.pdf |
op_rights |
Attribution 4.0 International http://creativecommons.org/licenses/by/4.0/ |
op_rightsnorm |
CC-BY |
op_doi |
https://doi.org/10.3402/ehtj.v7.24909 |
container_title |
Emerging Health Threats Journal |
container_volume |
7 |
container_issue |
1 |
container_start_page |
24909 |
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1766354321527537664 |