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  • 标题:The influence of program acceptability on the effectiveness of public health policy: a study of directly observed therapy for tuberculosis.
  • 本地全文:下载
  • 作者:S J Heymann ; R Sell ; T F Brewer
  • 期刊名称:American journal of public health
  • 印刷版ISSN:0090-0036
  • 出版年度:1998
  • 卷号:88
  • 期号:3
  • 页码:442-445
  • 出版社:American Public Health Association
  • 摘要: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.
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