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Tuberculosis and Type 2 Diabetes Mellitus (TB-DM) Comorbidity Care: Barriers from the Patients- Perspective
Merita Arini (a*), Riris Andono Ahmad(b), Adi Utarini(c)

aDepartment of Family Medicine and Public Health, School of Medicine, Faculty of Medicine and Health Science, Universitas Muhammadiyah Yogyakarta, Indonesia
bDepartment of Biostatistics, Epidemiology and Population Public Health, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
cDepartment of Health Policy and Management, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia


Abstract

Objective: This study aims to explore experiences of TB-DM patients for the service barriers encountered in achieving the expected outcomes. Method: A qualitative study was conducted between June-August 2019. TB-DM patients were identified from community health centers and hospital TB registers in Yogyakarta City, Indonesia. Fourteen adult TB-DM patients were purposively selected using criterion sampling, i.e. those who had been cured or already completed the intensive phase of TB treatment within the period of 2018-2019. In-depth interviews were carried out using interview guide and tape-recorded. Thematic analysis was used to analyze the verbatim transcripts. Results: Four themes were identified: health services-related barriers, patients-related barriers, health provider-patients interaction-related barriers, and strategies to resolve the barriers. Conclusion: TB-DM patients faced cascade of barriers to access healthcare and supports. Re-orienting health care system for more integrated chronic care readiness and improving patients- capacity are critical to improve quality of care.

Keywords: KEYWORDS: integrative chronic care, comorbidity

Topic: Public Health Issue

Link: https://ifory.id/abstract/B4gG9VDQcJCY

Conference: The 4th International Conference of Hospital Administration (ICHA 2019)

Plain Format | Corresponding Author (Merita Arini)

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