A multi-perspective service evaluation exploring tuberculosis contact screening attendance among adults at a North London hospital

J. Maclellan*, K. Wallace, E. Vacchelli, J. Roe, R. Davidson, I. Abubakar, Joanna Southern

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)

Abstract

Background Non-attendance at TB contact screening clinics has been highlighted as a common phenomenon across a number of sites during recruitment to the PREDICT TB Study. This has obvious implications for the safety of patients, their communities and for NHS resources. The objective of this study was to explore why adults who have been in contact with TB do, and do not, attend their screening appointment, thereby allowing identification of interventions to reduce non-attendance. Methods A multi-method approach was taken using 15 questionnaires with adults who attended for screening, 15 telephone questionnaires with adults who did not attend and in-depth interviews with 8 TB nurses. Interviews were coded to trace emerging descriptive themes, then refined through an iterative process of interpretation and recoding. Results Findings from the questionnaires and interviews were categorized into three principle themes following analysis: awareness, hospital factors and leadership. These themes deconstruct the complex phenomena of patients' lack of attendance at this TB contact screening service. Conclusion Recommendations related to issues of leadership, outreach services, flexibility of clinic timing and awareness amongst both the local community and GPs were made.

Original languageEnglish
Pages (from-to)e362-e367
JournalJournal of Public Health
Volume38
Issue number3
DOIs
Publication statusPublished - 1 Sep 2016

Bibliographical note

Publisher Copyright:
© 2015 The Author 2015. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Copyright:
Copyright 2016 Elsevier B.V., All rights reserved.

Keywords

  • communicable diseases
  • public health
  • quality

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