Improving Treatment Adherence with Integrated Patient Management for TB Patients in Morocco
- 주제(키워드) tuberculosis , mobile health , community-based treatment , program development , success rate , lost to follow-up rate , Morocco
- 주제(기타) Environmental Sciences; Public, Environmental & Occupational Health
- 설명문(일반) [Park, Seup; Moon, Narae; Oh, Byungkwon; Park, Miyeon] Global Care Int, Seoul 08377, South Korea; [Kang, Kilho] VF Partners, Seoul 06732, South Korea; [Sentissi, Ilham] Moroccan League TB, Chief Publ Hlth Serv & Epidemiol Surveillance, Rabat 10000, Morocco; [Bae, Sung-Heui] Ewha Womans Univ, Coll Nursing, Grad Program Syst Hlth Sci & Engn, Seoul 03760, South Korea
- 등재 SCIE, SSCI, SCOPUS
- OA유형 Green Published, gold
- 발행기관 MDPI
- 발행년도 2021
- URI http://www.dcollection.net/handler/ewha/000000183688
- 본문언어 영어
- Published As http://dx.doi.org/10.3390/ijerph18199991
- PubMed https://pubmed.ncbi.nlm.nih.gov/34639291
초록/요약
In Morocco, there are challenges in the management of high-risk tuberculosis (TB) patients, including paper-based management and a shortage of healthcare workers related to TB. Additionally, TB management has not been accounted for in various patient types, which affects treatment adherence. This study aims to examine the delivery model of TB management and the outcomes of an integrated patient management system that uses a patient-centered and community-based approach, along with mobile health technology. A total of 3605 TB patients were enrolled in this program in Morocco's five prefectures (Rabat, Sale, Kenitra, Khemisset, Skhirat-Temara) from January 2018 to December 2019. Patients were managed based on demographic characteristics, socioeconomic status, areas (rural or urban), health literacy levels, and distance to primary health centers. Our mobile health intervention "smart pillbox " was interposed with high-risk TB patients, along with patient education. The rate of successful treatment was 92.2%, which was higher than the national rate (88%). The "lost to follow-up " rate was 4.1%, which was significantly lower than the existing non-adherence rate of 7.9%. Therefore, integrated patient management for TB patients in Morocco is more effective than the existing conventional programs. This comprehensive approach provides an alternative method for countries with limited resources.</p>
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