Patient and health service delays in initiating treatment for patients with pulmonary tuberculosis: retrospectivecohort study (Record no. 75789)

MARC details
000 -LEADER
fixed length control field 03844cam a2200229 4500
001 - CONTROL NUMBER
control field NMDX6632
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 120401t2004 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 10273719
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Paynter, S.
240 ## - UNIFORM TITLE
Uniform title <a href="International Journal of Tuberculosis and Lung Disease">International Journal of Tuberculosis and Lung Disease</a>
245 ## - TITLE STATEMENT
Title Patient and health service delays in initiating treatment for patients with pulmonary tuberculosis: retrospectivecohort study
260 ## - PUBLICATION, DISTRIBUTION, ETC. (IMPRINT)
Date of publication, distribution, etc. 2004
500 ## - GENERAL NOTE
General note NMUH Staff Publications
500 ## - GENERAL NOTE
General note 8
520 ## - SUMMARY, ETC.
Summary, etc. &lt;h4 style="margin: 0px 0.25em 0px 0px; text-transform: uppercase; float: left; line-height: 17.999801635742188px;"&gt;&lt;span style="font-size: 8pt;"&gt;SETTING:&lt;/span&gt;&lt;/h4&gt;&lt;p style="margin: 0px 0px 0.5em; line-height: 17.999801635742188px;"&gt;&lt;span style="font-size: 8pt;"&gt;Catchment population of the North Middlesex University Hospital (NMUH), London, UK.&lt;/span&gt;&lt;/p&gt;&lt;h4 style="margin: 0px 0.25em 0px 0px; text-transform: uppercase; float: left; line-height: 17.999801635742188px;"&gt;&lt;span style="font-size: 8pt;"&gt;OBJECTIVE:&lt;/span&gt;&lt;/h4&gt;&lt;p style="margin: 0px 0px 0.5em; line-height: 17.999801635742188px;"&gt;&lt;span style="font-size: 8pt;"&gt;To measure patient and health care delays in treatment of pulmonary tuberculosis.&lt;/span&gt;&lt;/p&gt;&lt;h4 style="margin: 0px 0.25em 0px 0px; text-transform: uppercase; float: left; line-height: 17.999801635742188px;"&gt;&lt;span style="font-size: 8pt;"&gt;DESIGN:&lt;/span&gt;&lt;/h4&gt;&lt;p style="margin: 0px 0px 0.5em; line-height: 17.999801635742188px;"&gt;&lt;span style="font-size: 8pt;"&gt;Retrospective cohort study of patients notified with pulmonary tuberculosis between 1 April 2001 and 1 March 2002.&lt;/span&gt;&lt;/p&gt;&lt;h4 style="margin: 0px 0.25em 0px 0px; text-transform: uppercase; float: left; line-height: 17.999801635742188px;"&gt;&lt;span style="font-size: 8pt;"&gt;RESULTS:&lt;/span&gt;&lt;/h4&gt;&lt;p style="margin: 0px 0px 0.5em; line-height: 17.999801635742188px;"&gt;&lt;span style="font-size: 8pt;"&gt;The median case finding delays were between 78 and 99 days. Median patient-related delay was between 34.5 and 54 days. Median health care-related delay was 29.5 days. Shorter case finding delays were found in patients born in a high prevalence country, patients presenting first to Accident and Emergency department (A&amp;amp;E), younger patients, and those with sputum smear-positive disease. In those presenting first to A&amp;amp;E, those born in a high prevalence country, and those with sputum-positive disease, this effect was predominantly due to shorter health care delays. Limitations of TB service capacity and organisational factors appeared responsible for up to half of the difference in delay between those presenting to A&amp;amp;E or general practitioners (GPs).&lt;/span&gt;&lt;/p&gt;&lt;h4 style="margin: 0px 0.25em 0px 0px; text-transform: uppercase; float: left; line-height: 17.999801635742188px;"&gt;&lt;span style="font-size: 8pt;"&gt;CONCLUSION:&lt;/span&gt;&lt;/h4&gt;&lt;p style="margin: 0px 0px 0.5em; line-height: 17.999801635742188px;"&gt;&lt;span style="font-size: 8pt;"&gt;Patient and health service delays contribute substantially to delays in patients accessing treatment. Considerable reduction in case finding delays may be achieved through changes in the capacity of tuberculosis services, and coordination of associated health services.&lt;/span&gt;&lt;/p&gt;
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Hayward, A.
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Wilkinson, P.
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Lozewicz, S.
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Coker, R.
856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="www.ncbi.nlm.nih.gov/pubmed/15139446">www.ncbi.nlm.nih.gov/pubmed/15139446</a>
856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="http://docstore.ingenta.com/cgi-bin/ds_deliver/1/u/d/ISIS/78547061.1/iuatld/ijtld/2004/00000008/00000002/art00004/100F0017EB894CD914041264842BC12A425A3C7066.pdf?link=http://www.ingentaconnect.com/error/delivery&amp;format=pdf">http://docstore.ingenta.com/cgi-bin/ds_deliver/1/u/d/ISIS/78547061.1/iuatld/ijtld/2004/00000008/00000002/art00004/100F0017EB894CD914041264842BC12A425A3C7066.pdf?link=http://www.ingentaconnect.com/error/delivery&amp;format=pdf</a>
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection code Home library Current library Shelving location Date acquired Total Checkouts Date last seen Price effective from Koha item type
        Staff publications for NMDX Ferriman information and Library Service (North Middlesex) Ferriman information and Library Service (North Middlesex) Shelves 07/06/2022   07/06/2022 07/06/2022 Book
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