ArticleBMC health services research2014
Collaboration between municipal and specialist public health care in tuberculosis screening in Norway.
Article in BMC health services research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.
- Improving cascade outcomes for active TB: A global systematic review and meta-analysis of TB interventions.PLoS medicine · 2023Pooled it
- Tuberculosis screening in the European migrant population: a scoping review of current practices.Breathe (Sheffield, England) · 2024Article
- Migration health research in Norway: a scoping review.Scandinavian journal of public health · 2023Article
- Knowledge, attitudes and practices on tuberculosis among screened immigrants in Norway. A cross-sectional study.Journal of clinical tuberculosis and other mycobacterial diseases · 2022Article
- Screening for tuberculosis in an urban shelter for homeless in Switzerland: a prospective study.BMC infectious diseases · 2017Article
- Review of infectious diseases in refugees and asylum seekers-current status and going forward.Public health reviewsReview
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Authors and funding
3 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAbout 90% of new tuberculosis (TB) cases in Norway appear among immigrants from high incidence countries. There is a compulsory governmental tuberculosis screening programme for immigrants; immigrants with positive screening results are to be referred from municipal health care to the specialist health care for follow-up. Recent studies of the screening programme have shown inadequate follow-up. One of the main problems has been that patients referred for follow-up have not attended their appointment at the specialist health care.TB screening in the municipality of Trondheim is done by two different teams: the Refugee Healthcare Centre (RHC) screens refugees and the Vaccination and Infection Control Office (VICO) screens all the other groups. Patients with positive findings on screening are referred to the hospital's Pulmonary Out-patient Department (POPD). The municipal and referral level public health care initiated a project aiming to improve follow-up through closer collaboration.
methodsAn intervention group and a pre-intervention control group were established for each screening group. During meetings between staff from the municipality and the POPD, inadequacies in the screening process were identified, and changes in procedures for summoning patients, and time and place for tests were implemented. For both the intervention group and the control group, time from referral until consultation at the POPD and number of patients that attended their first appointment were registered and compared.
resultsIn the VICO group, 97/134 (72%) of the controls and 109/123 (89%) of the intervention group attended their first appointment at the POPD after 30 weeks (median) and 10 weeks, respectively. In the RHC group 28/46 (61%) of the controls and 55/59 (93%) in the intervention group attended their first appointment after 15 and 8 weeks (median) respectively.
conclusionIncreased collaboration between the municipal and specialist health care can improve the follow-up of positive TB screening results.
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