PMID- 29117347
OWN - NLM
STAT- MEDLINE
DCOM- 20171116
LR  - 20190313
IS  - 1537-6613 (Electronic)
IS  - 0022-1899 (Linking)
VI  - 216
IP  - suppl_7
DP  - 2017 Nov 6
TI  - Quality Tuberculosis Care in Indonesia: Using Patient Pathway Analysis to
      Optimize Public-Private Collaboration.
PG  - S724-S732
LID - 10.1093/infdis/jix379 [doi]
AB  - Background: Tuberculosis (TB) is the fourth leading cause of death in Indonesia. 
      In 2015, the World Health Organization estimated that nearly two-thirds of the TB
      patients in Indonesia had not been notified, and the status of their care
      remained unknown. As such, Indonesia is home to nearly 20% of the world's
      "missing" TB patients. Understanding where patients go for care may enable
      strategic planning of services to better reach them. Methods: A patient pathway
      analysis (PPA) was conducted to assess the alignment between patient care seeking
      and the availability of TB diagnostic and treatment services at the national and 
      subnational level in Indonesia. Results: The PPA results revealed that only 20%
      of patients encountered diagnostic capacity at the location where they first
      sought care. Most initial care seeking occurred in the private sector and case
      notification lagged behind diagnostic confirmation in the public sector.
      Conclusions: The PPA results emphasize the role that the private sector plays in 
      TB patient care seeking and suggested a need for differentiated approaches, by
      province, to respond to variances in care-seeking patterns and the capacities of 
      public and private providers.
CI  - (c) The Author 2017. Published by Oxford University Press for the Infectious
      Diseases Society of America.
FAU - Surya, Asik
AU  - Surya A
AD  - Subdirectorate of Tuberculosis, Ministry of Health, Jakarta.
FAU - Setyaningsih, Budiarti
AU  - Setyaningsih B
AD  - Subdirectorate of Tuberculosis, Ministry of Health, Jakarta.
FAU - Suryani Nasution, Helmi
AU  - Suryani Nasution H
AD  - Subdirectorate of Tuberculosis, Ministry of Health, Jakarta.
FAU - Gita Parwati, Cicilia
AU  - Gita Parwati C
AD  - Challenge TB Project, KNCV Tuberculosis Foundation, Jakarta, Indonesia.
FAU - Yuzwar, Yullita E
AU  - Yuzwar YE
AD  - Subdirectorate of Tuberculosis, Ministry of Health, Jakarta.
FAU - Osberg, Mike
AU  - Osberg M
AD  - Linksbridge, Seattle, Washington.
FAU - Hanson, Christy L
AU  - Hanson CL
AD  - Macalester College, St Paul, Minnesota.
AD  - Bill & Melinda Gates Foundation, Seattle, Washington.
FAU - Hymoff, Aaron
AU  - Hymoff A
AD  - Macalester College, St Paul, Minnesota.
FAU - Mingkwan, Pia
AU  - Mingkwan P
AD  - Macalester College, St Paul, Minnesota.
FAU - Makayova, Julia
AU  - Makayova J
AD  - Macalester College, St Paul, Minnesota.
FAU - Gebhard, Agnes
AU  - Gebhard A
AD  - Challenge TB Project, KNCV Tuberculosis Foundation, Jakarta, Indonesia.
FAU - Waworuntu, Wiendra
AU  - Waworuntu W
AD  - Directorate of Prevention and Control of Communicable Disease, Ministry of
      Health, Jakarta, Indonesia.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - J Infect Dis
JT  - The Journal of infectious diseases
JID - 0413675
SB  - AIM
SB  - IM
MH  - *Critical Pathways
MH  - Humans
MH  - Indonesia/epidemiology
MH  - *Patient Acceptance of Health Care
MH  - Patient Care
MH  - Private Sector
MH  - *Public-Private Sector Partnerships
MH  - *Quality of Health Care
MH  - Tuberculosis/*diagnosis/epidemiology/*therapy
MH  - World Health Organization
PMC - PMC5853837
OTO - NOTNLM
OT  - *Indonesia
OT  - *care seeking
OT  - *patient pathway analysis
OT  - *private sector
OT  - *tuberculosis
EDAT- 2017/11/09 06:00
MHDA- 2017/11/29 06:00
CRDT- 2017/11/09 06:00
PHST- 2017/11/09 06:00 [entrez]
PHST- 2017/11/09 06:00 [pubmed]
PHST- 2017/11/29 06:00 [medline]
AID - 4595551 [pii]
AID - 10.1093/infdis/jix379 [doi]
PST - ppublish
SO  - J Infect Dis. 2017 Nov 6;216(suppl_7):S724-S732. doi: 10.1093/infdis/jix379.