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The influence of program acceptability on the effectiveness of public health policy: a study of directly observed therapy for tuberculosis
Journal article   Open access   Peer reviewed

The influence of program acceptability on the effectiveness of public health policy: a study of directly observed therapy for tuberculosis

S J Heymann, R Sell and T F Brewer
American journal of public health (1971), v 88(3), pp 442-445
Mar 1998
PMID: 9518978
url
https://doi.org/10.2105/AJPH.88.3.442View
Published, Version of Record (VoR) Open

Abstract

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.

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17 citations in Scopus

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Collaboration types
Domestic collaboration
Web of Science research areas
Public, Environmental & Occupational Health
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