Three Models of Social Work Intervention with Tuberculosis Patients

Andrews, Arlene Bowers; Williams, Harry Napier; Kinney, J. E.

doi:10.1093/hsw/13.4.288

Cited by 4 publications

(1 citation statement)

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“…History shows that declines in tuberculosis rates are possible through improved socio-economic development; with the fastest decline in recorded history being in the context of universal health care, rapid socio-economic development and the availability of effective medications in the middle of the 1900s [1,2]. These circumstances have contributed to long-term stable tuberculosis incidence rates in many highly developed settings, including Australia.…”

Section: Introductionmentioning

confidence: 99%

Is Australia Neglecting the Local Topography When It Comes to Catastrophic Costs and Ending Tuberculosis?

Watts

2018

TropicalMed

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Efforts to eliminate tuberculosis as a public health problem require reductions in mortality, incidence, and the eradication of associated catastrophic costs; however, the question of catastrophic costs is often neglected, particularly in the context of low-incidence settings like Australia. This study reviews the financial support provided to those identified as in need, and in receipt, of economic aid from the Victorian Tuberculosis Program. The study design used Epstein’s clinical data mining framework to produce descriptive statistics which were supplemented by clinical collaboration. A consistent one-third of those receiving care from the Program due to a notification of active tuberculosis received emergency financial relief over the study period. Overwhelmingly, funds were used to relieve financial distress, and each year approximately one-third of the expenditure was used to support 2% of those people notified as affected by tuberculosis (or 7–9% of those in receipt of funds). Many of this 2% experienced income loss and expenditure that may be considered catastrophic. Further investigation is needed to better define and understand the nature of catastrophic costs in the context of universal health care and existing low tuberculosis incidence.

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Section: Introductionmentioning

confidence: 99%

Is Australia Neglecting the Local Topography When It Comes to Catastrophic Costs and Ending Tuberculosis?

Watts

2018

TropicalMed

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Selective Directly Observed Therapy

Smith

Moore²

1995

Journal of Public Health Management and Practice

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Directly observed therapy (DOT) has become a popular strategy in tuberculosis (TB) control. Limited resources to provide DOT makes selection of patients an issue. Studies were done in San Francisco to analyze the socioeconomic and behavioral characteristics of 1992 TB patients--and of those on DOT--and to determine attitudes of indigent San Franciscans toward TB and adherence to TB control measures. The studies show that (1) African American and Latino patients were more likely to be selected for DOT than Asian/Pacific Islanders and whites, regardless of factors associated with adherence behavior, and (2) DOT, delivered in a respectful manner and combined with incentives, was evaluated positively by those with risk factors.

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Treating Tuberculosis

Black

Bruce²

1998

Social Work in Health Care

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The resurgence of tuberculosis gives cause for alarm. Compliance with an effective medication regimen leads to cure; yet, many patients fail to comply. This paper discusses factors affecting compliance and the essential role of social work, from an ecological perspective, when intervening to increase compliance. The authors relate comments made by patients at the only hospital originally and still serving as a TB sanatorium in relation to literature on compliance. Changes at the hospital include the development of a social work department which uses the ecological perspective in working with patients whose histories include non-compliance, as well as alcoholism, homelessness, loneliness, joblessness, and AIDS. The content of interviews with patients reveal and identify problems for future research.

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Three Models of Social Work Intervention with Tuberculosis Patients

Cited by 4 publications

References 0 publications

Is Australia Neglecting the Local Topography When It Comes to Catastrophic Costs and Ending Tuberculosis?

Is Australia Neglecting the Local Topography When It Comes to Catastrophic Costs and Ending Tuberculosis?

Selective Directly Observed Therapy

Treating Tuberculosis

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