Universidad Peruana Cayetano Heredia

Referral Process for Surgical Management of Tuberculosis in Lima: A Qualitative Study

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dc.contributor.author Shu-Yip, Sebastian
dc.contributor.author Wong, Milagros
dc.contributor.author Iverson, Katherine R.
dc.contributor.author Roa, Lina
dc.contributor.author Lecca, Leonid
dc.contributor.author Sotomayor, Alfredo
dc.contributor.author Mody, Gita N.
dc.date.accessioned 2021-10-04T23:01:00Z
dc.date.available 2021-10-04T23:01:00Z
dc.date.issued 2021
dc.identifier.uri https://hdl.handle.net/20.500.12866/9882
dc.description.abstract Background: Lung resection surgery can be a complementary therapy for managing tuberculosis (TB) complications, but access is lacking in high-burden areas. The referral process for surgical evaluation is not well described. This study aimed to elucidate the TB surgery referral process in Peru. Methods: A qualitative study was conducted using focus groups and interviews of health care providers from the Peruvian National TB Program. A semi-structured interview guide was developed with local partners. Focus groups and individual interviews were recorded and transcribed. Thematic analysis was used to reconstruct the referral process and identify barriers as well as areas for improvement. Results: A total of 12 sessions were recorded (7 interviews and 5 focus groups; 36 participants total). The main themes identified were: (1) Surgical referral workflow, (2) Unstandardized selection criteria for surgery, (3) Limited inter-institutional communication, and (4) Material barriers to surgical management. Conclusion: Health care providers involved in the referral process of surgical management of tuberculosis in Lima reported a hierarchical referral workflow. Interinstitutional communication may be a critical interventional point to improve a patient's quality of care during the referral process en_US
dc.language.iso eng
dc.publisher Academic Press
dc.relation.ispartofseries Journal of Surgical Research
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Global Health en_US
dc.subject Global surgery en_US
dc.subject Quality improvement en_US
dc.subject Surgery and thoracic surgery en_US
dc.title Referral Process for Surgical Management of Tuberculosis in Lima: A Qualitative Study en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1016/j.jss.2021.05.053
dc.relation.issn 1095-8673


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