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  1. Fulltext. The influence of program acceptability on the effectiveness of public health policy : A study of directly observed therapy for tuberculosis.

    Article - En anglais

    Fulltext.

    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.

    Mots-clés Pascal : Antituberculeux, Chimiothérapie, Traitement, Tuberculose, Mycobactériose, Bactériose, Infection, Surveillance, Homme, Acceptation, Malade, Comportement, Demande thérapeutique, Attitude, Autoadministration, Etude comparative, Observance médicamenteuse, Etats Unis, Amérique du Nord, Amérique

    Mots-clés Pascal anglais : Antituberculous agent, Chemotherapy, Treatment, Tuberculosis, Mycobacterial infection, Bacteriosis, Infection, Surveillance, Human, Acceptance, Patient, Behavior, Therapeutical request, Attitude, Self administration, Comparative study, Drug compliance, United States, North America, America

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0196269

    Code Inist : 002B02S02. Création : 11/09/1998.