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Inicio Enfermería Clínica Tuberculosis and type 2 Diabetes Mellitus (TB-DM) comorbidity care: Barriers fro...
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Vol. 30. Núm. S6.
The 4th International Conference Hospital Administration (ICHA4)
Páginas 174-178 (octubre 2020)
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Vol. 30. Núm. S6.
The 4th International Conference Hospital Administration (ICHA4)
Páginas 174-178 (octubre 2020)
Tuberculosis and type 2 Diabetes Mellitus (TB-DM) comorbidity care: Barriers from the patients’ perspective
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Merita Arinia,
Autor para correspondencia
merita.arini@umy.ac.id

Corresponding author.
, Riris Andono Ahmadb, Adi Utarinic
a Department of Public Health and Family Medicine, School of Medicine, Faculty of Medicine and Health Science, Universitas Muhammadiyah Yogyakarta, Indonesia
b Department of Biostatistics, Epidemiology and Population Public Health, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
c Department of Health Policy and Management, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
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Abstract
Objective

This study aims to explore the 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 Yogyakarta City, Indonesia. Fourteen adult TB-DM patients were purposively selected using criterion sampling. They were those who had been cured or already completed the intensive phase of TB treatment from 2018 to 2019. In-depth interviews were carried out using interview guides and tape-recorded. Thematic analysis was used to analyze the verbatim transcripts.

Results

Four themes were identified: health services-related barriers, patient-related barriers, health provider-patients interaction-related barriers, and strategies to resolve the barriers.

Conclusion

TB-DM patients faced a cascade of barriers with accessing TB-DM care and supports. Re-orienting the health care system for more integrated chronic care readiness and improving patients’ capacity is critical to improving the quality of care.

Keywords:
Integrative chronic care
Comorbidity

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