The influence of program acceptability on the effectiveness of public health policy

A study of directly observed therapy for tuberculosis

Bibliographic Data

ID11032983
AuthorsJody Heymann (0000-0003-0008-4198, Harvard University), S J Heymann, Randall L Sell (0009-0008-3377-0155, Brigham and Women's Hospital), R Sell, Timothy F Brewer (0000-0002-5615-1639, Brigham and Women's Hospital)
Year1998
Volume88
Issue3
Pages442-445
Publication date1998-03-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.88.3.442
PMID9518978
OpenAlexW2055817121
LanguageEN
Citations received6
References cited7

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

Directly Observed Therapy · Family medicine · Health care · Physical therapy · Public health · Tuberculosis · Health Policy Implementation Science · Health Systems, Economic Evaluations, Quality of Life · Medicine · Nursing · Tuberculosis Research and Epidemiology

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