Who
-
Participants: 104 bacteriologically confirmed DR-TB patients at H. Adam Malik General Hospital, Medan.
-
Groups: 34 patients lost to follow-up and 70 who continued treatment.
-
Demographics of loss-to-follow-up patients:
-
65% aged 45–65
-
55.9% male
-
91.2% completed high school or equivalent
-
58.8% employed
-
70.6% married
-
What
-
Study focus: Association between perceived social support and perceived quality of healthcare services with loss-to-follow-up among DR-TB patients.
-
Key findings:
-
Low–moderate social support significantly predicts loss-to-follow-up (PR = 14.50; p < 0.001).
-
Patients perceiving only “adequate” healthcare provider support have nearly a six-fold higher risk of loss-to-follow-up compared with those perceiving full support (p < 0.001).
-
-
Implications: Both social and healthcare support strongly influence treatment adherence and should be integrated into patient-centered TB management strategies in Indonesia.
When
-
The study was conducted over seven months; patients included had initiated treatment between 2020 and 2024.
Where
-
H. Adam Malik Hospital, Medan, Indonesia.
Why
-
To fill a gap in understanding how combined social support and healthcare service quality predict loss-to-follow-up among DR-TB patients—an area with limited evidence in Medan.
How
-
Design: Observational study using purposive sampling.
-
Inclusion criteria: Age ≥18 years, DR-TB default or treatment completion status, treatment initiation 2020–2024, and informed consent.
-
Data collection: Medical record review plus a validated questionnaire covering demographics, treatment attitude, social support, and healthcare provider support.
-
Instruments: Social support assessed using adapted versions of the MSPSS (Multidimensional Scale of Perceived Social Support) questionnaire (12 items, 3 subscales).
No comments:
Post a Comment