Effect of a Hospital-based Case Management Approach on Treatment Outcome of Patients with Tuberculosis

Lin, Rong-Luh; Lin, Fung-J; Wu, Chien‐Liang; Peng, Ming-Jen; Chen, Pei-Jan; Kuo, Hsu-Tah

doi:10.1016/s0929-6646(09)60162-5

Cited by 6 publications

(4 citation statements)

References 11 publications

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“…Nyamathi et al conducted a randomized controlled trial of NCM in the United States (U.S.) among homeless HIV-infected persons with latent TB showing that nurse case managers increased the rate of completion of isoniazid preventative therapy (OR: 3.26; 95% confidence interval, 2.13–4.99) [33] . The same impact of NCM was identified by Lin and colleagues who demonstrated a significantly higher rate of successful TB treatment compared to patients without NCM in a hospital setting (240/277, 86.6% vs. 67/92, 72.8%; p = 0.002) [32] . Data from these studies support the use of a multifaceted, patient-centered NCM intervention to improve treatment outcomes.…”

Section: Discussionsupporting

confidence: 66%

“…Following implementation, we identified improvements in adherence to MDR-TB and HIV treatment guidelines in both the delivery and decision support domains of the CCM. Prior research has demonstrated how a NCM approach leads to significant improvements in disease management and outcomes such as improved treatment adherence, decreased psychosocial distress and reduced morbidity and mortality in diseases such as heart failure [26] , [27] , diabetes [28] , HIV [16] , [29] – [31] , and drug susceptible TB [32] , [33] . Nyamathi et al conducted a randomized controlled trial of NCM in the United States (U.S.) among homeless HIV-infected persons with latent TB showing that nurse case managers increased the rate of completion of isoniazid preventative therapy (OR: 3.26; 95% confidence interval, 2.13–4.99) [33] .…”

Section: Discussionmentioning

confidence: 99%

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Development and Evaluation of a Pilot Nurse Case Management Model to Address Multidrug-Resistant Tuberculosis (MDR-TB) and HIV in South Africa

et al. 2014

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SettingMultidrug-resistant tuberculosis (MDR-TB) unit in KwaZulu-Natal, South Africa.ObjectiveTo develop and evaluate a nurse case management model and intervention using the tenets of the Chronic Care Model to manage treatment for MDR-TB patients with a high prevalence of human immunodeficiency virus (HIV) co-infection.DesignA quasi-experimental pilot programme utilizing a nurse case manager to manage care for 40 hospitalized MDR-TB patients, 70% HIV co-infected, during the intensive phase of MDR-TB treatment. Patients were followed for six months to compare proximal outcomes identified in the model between the pre- and post-intervention period.ResultsThe greatest percent differences between baseline and six-month MDR-TB proximal outcomes were seen in the following three areas: baseline symptom evaluation on treatment initiation (95% improvement), baseline and monthly laboratory evaluations completed per guidelines (75% improvement), and adverse drug reactions acted upon by medical and/or nursing intervention (75% improvement).ConclusionImprovements were identified in guideline-based treatment and monitoring of adverse drug reactions following implementation of the nurse case management intervention. Further study is required to determine if the intervention introduced in this model will ultimately result in improvements in final MDR-TB treatment outcomes.

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Section: Discussionsupporting

confidence: 66%

Section: Discussionmentioning

confidence: 99%

Development and Evaluation of a Pilot Nurse Case Management Model to Address Multidrug-Resistant Tuberculosis (MDR-TB) and HIV in South Africa

et al. 2014

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“…The NHI has broadened payment for several disease-management programs and provided financial incentives for regular diabetes follow-up visits [19-23]. In 2001, a diabetes pay-for-performance program, known as the diabetes shared care network, was implemented [24-26].…”

Section: Introductionmentioning

confidence: 99%

“…As effective management for chronic diseases has been established, the National Health Insurance (NHI) system of Taiwan has acknowledged the value of disease screening and disease management. The NHI has broadened payment for several disease-management programs and provided financial incentives for regular diabetes follow-up visits [ 19 - 23 ]. In 2001, a diabetes pay-for-performance program, known as the diabetes shared care network, was implemented [ 24 - 26 ].…”

Section: Introductionmentioning

confidence: 99%

Evaluating Self-Management Behaviors of Diabetic Patients in a Telehealthcare Program: Longitudinal Study Over 18 Months

Chen¹,

Chuang²,

Chang³

et al. 2013

J Med Internet Res

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BackgroundSelf-management is an important skill for patients with diabetes, and it involves frequent monitoring of glucose levels and behavior modification. Techniques to enhance the behavior changes of diabetic patients have been developed, such as diabetes self-management education and telehealthcare. Although the patients are engaged in self-management activities, barriers to behavior changes remain and additional work is necessary to address the impact of electronic media and telehealthcare on patient self-care behaviors.ObjectiveThe aims of this study were to (1) explore the behaviors of diabetic patients interacting with online applications, (2) determine the impact of a telehealthcare program among 7 self-care behaviors of the patients, and (3) determine the changes in glycosylated hemoglobin (HbA1c) levels.MethodsA telehealthcare program was conducted to assist the patients with 7 self-care activities. The telehealthcare program lasted for 18 months and included the use of a third-generation mobile telecommunications glucometer, an online diabetes self-management system, and a teleconsultant service. We analyzed the data of 59 patients who participated in the telehealthcare program and 103 who did not. The behavioral assessments and the HbA1c data were collected and statistically analyzed to determine whether the telehealthcare services had an impact on the patients. We divided the 18-month period into 3 6-month intervals and analyzed the parameters of patients assisted by the telehealthcare service at different time points. We also compared the results of those who were assisted by the telehealthcare service with those who were not.ResultsThere was a significant difference in monitoring blood glucose between the beginning and the end of the patient participation (P=.046) and between the overall period and the end of patient participation (P<.001). Five behaviors were significantly different between the intervention and control patients: being active (P<.001), healthy eating (P<.001), taking medication (P<.001), healthy coping (P=.02), and problem solving (P<.001). Monitoring of blood glucose was significantly different (P=.02) during the 6-12 month stage of patient participation between the intervention and control patients. A significant difference between the beginning and the 6-12 month stage of patient participation was observed for the mean value of HbA1c level (P=.02), and the differences between the overall HbA1c variability and the variability of each 6-month interval was also significant.ConclusionsTelehealthcare had a positive effect on diabetic patients. This study had enhanced blood glucose monitoring, and the patients in the program showed improvements in glycemic control. The self-care behaviors affect patient outcomes, and the changes of behavior require time to show the effects.

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Reminder systems and late patient tracers in the diagnosis and management of tuberculosis

Abba

Alejandria

et al. 2008

Cochrane Database of Systematic Reviews

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Effect of a Hospital-based Case Management Approach on Treatment Outcome of Patients with Tuberculosis

Abstract: Treatment of TB patients by a HBCM approach provides improved treatment outcomes compared to those without case management.

Cited by 6 publications

References 11 publications

Development and Evaluation of a Pilot Nurse Case Management Model to Address Multidrug-Resistant Tuberculosis (MDR-TB) and HIV in South Africa

Development and Evaluation of a Pilot Nurse Case Management Model to Address Multidrug-Resistant Tuberculosis (MDR-TB) and HIV in South Africa

Evaluating Self-Management Behaviors of Diabetic Patients in a Telehealthcare Program: Longitudinal Study Over 18 Months

Reminder systems and late patient tracers in the diagnosis and management of tuberculosis

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