Improved treatment completion for tuberculosis patients: The case for a dedicated social care team - 18/03/21
, Sue Wilders a , Colette Smith b , Madeleine Wickers a , Trevor Hart a , Josiane Dos Santos a , Helen Booth a, c , Dean Creer d , Ian Cropley e , Stefan Lozewicz f , Jacqui White a , Marc Lipman c, d Highlights |
• | A dedicated social care team (SCT) to support patient engagement with care. |
• | Patients referred to the SCT were significantly more likely to complete treatment for TB. |
• | A strong argument for the development of similar SCTs within other TB services. |
Abstract |
Objectives |
The increasing social needs of people with Tuberculosis (TB), and the poor adherence to anti-TB therapy (ATT) associated with homelessness, drug or alcohol abuse, and prison history, led us to introduce a social care team (SCT) to support patient engagement with care within this low TB incidence setting.
Methods |
Using a risk assessment, patients with social risk factors (SRF) for non-adherence to ATT are identified and a referral made to the SCT, who then provide intensive casework support for areas including homelessness, housing, benefits, debt and immigration. Retrospective data analysis of the social care database from 2017 to 2019 was conducted. Patients who were (n = 170) and were not referred to the SCT (n = 734) were compared.
Results |
Patients referred were significantly more likely to complete treatment for TB than those not (88.2% versus 77.7% respectively, p = 0.0025), irrespective of receipt of Directly/Video Observed Therapy and adjusting for confounders.
Conclusions |
This paper demonstrates important evidence for the positive impact of a dedicated SCT within a TB service, and these improved treatment outcomes provide a strong argument for development of similar SCTs within UK TB services and similar healthcare settings.
Le texte complet de cet article est disponible en PDF.Keywords : Tuberculosis, Infectious disease, Public health, Social care
Plan
Vol 82 - N° 3
P. e1-e3 - mars 2021 Retour au numéro
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