A temporal analysis on patient and health service delays in pulmonary tuberculosis in Portugal
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10362/144665 |
Resumo: | Publisher Copyright: © 2022. The Author(s). |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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7160 |
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A temporal analysis on patient and health service delays in pulmonary tuberculosis in Portugalinter and intra‑regional differences and in(equalities) between gender and ageARIMADelayPortugalTemporal trendsTuberculosisPublic Health, Environmental and Occupational HealthSDG 3 - Good Health and Well-beingPublisher Copyright: © 2022. The Author(s).BACKGROUND: Tuberculosis (TB) diagnosis and treatment delays increase the period of infectiousness, making TB control difficult and increasing the fatality rates. This study aimed to determine the evolution of health care service delay (time between the patient's first contact with the health service and the diagnosis/start of treatment) and patient delay (time between onset symptoms date and the date of first contact with health services) for Pulmonary Tuberculosis (PTB) in Portugal between 2008 and 2017 across different regions, age groups and gender. METHODS: An exploratory analysis was performed, trends of both delays were studied, and 36 months forecasts were generated. We used the permutation test to test differences between groups and the Seasonal and Trend decomposition using Loess (STL) method and Autoregressive Integrated Moving Average (ARIMA) models for forecasting for both Health and Patient delays. We used data from notified PTB cases in mainland Portugal between 2008 and 2017, provided by the national surveillance system. RESULTS: Health delays remained relatively constant while patient delays increased. Females had significantly higher health delays in some regions. Individuals older than 64 had higher health delays than younger individuals, while patient delay for working-age individuals between 15 and 64 years old, presents higher patient delay. CONCLUSIONS: Forecasts presage that the upward trend of the delays is unlikely to fall in the coming years. It is important to understand the evolution of the delays and predict how these will evolve. Our understanding of the delays behaviours will contribute to better health policies and resources allocation.Comprehensive Health Research Centre (CHRC) - Pólo ENSPCentro de Investigação em Saúde Pública (CISP/PHRC)Escola Nacional de Saúde Pública (ENSP)RUNChakma, BhaswarGomes, DulceFilipe, Patrícia A.Soares, Patríciade Sousa, BrunoNunes, Carla2022-10-12T22:18:33Z2022-09-282022-09-28T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article1application/pdfhttp://hdl.handle.net/10362/144665eng1471-2458PURE: 47069087https://doi.org/10.1186/s12889-022-14216-3info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:24:26Zoai:run.unl.pt:10362/144665Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:51:41.040448Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
A temporal analysis on patient and health service delays in pulmonary tuberculosis in Portugal inter and intra‑regional differences and in(equalities) between gender and age |
title |
A temporal analysis on patient and health service delays in pulmonary tuberculosis in Portugal |
spellingShingle |
A temporal analysis on patient and health service delays in pulmonary tuberculosis in Portugal Chakma, Bhaswar ARIMA Delay Portugal Temporal trends Tuberculosis Public Health, Environmental and Occupational Health SDG 3 - Good Health and Well-being |
title_short |
A temporal analysis on patient and health service delays in pulmonary tuberculosis in Portugal |
title_full |
A temporal analysis on patient and health service delays in pulmonary tuberculosis in Portugal |
title_fullStr |
A temporal analysis on patient and health service delays in pulmonary tuberculosis in Portugal |
title_full_unstemmed |
A temporal analysis on patient and health service delays in pulmonary tuberculosis in Portugal |
title_sort |
A temporal analysis on patient and health service delays in pulmonary tuberculosis in Portugal |
author |
Chakma, Bhaswar |
author_facet |
Chakma, Bhaswar Gomes, Dulce Filipe, Patrícia A. Soares, Patrícia de Sousa, Bruno Nunes, Carla |
author_role |
author |
author2 |
Gomes, Dulce Filipe, Patrícia A. Soares, Patrícia de Sousa, Bruno Nunes, Carla |
author2_role |
author author author author author |
dc.contributor.none.fl_str_mv |
Comprehensive Health Research Centre (CHRC) - Pólo ENSP Centro de Investigação em Saúde Pública (CISP/PHRC) Escola Nacional de Saúde Pública (ENSP) RUN |
dc.contributor.author.fl_str_mv |
Chakma, Bhaswar Gomes, Dulce Filipe, Patrícia A. Soares, Patrícia de Sousa, Bruno Nunes, Carla |
dc.subject.por.fl_str_mv |
ARIMA Delay Portugal Temporal trends Tuberculosis Public Health, Environmental and Occupational Health SDG 3 - Good Health and Well-being |
topic |
ARIMA Delay Portugal Temporal trends Tuberculosis Public Health, Environmental and Occupational Health SDG 3 - Good Health and Well-being |
description |
Publisher Copyright: © 2022. The Author(s). |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-10-12T22:18:33Z 2022-09-28 2022-09-28T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10362/144665 |
url |
http://hdl.handle.net/10362/144665 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
1471-2458 PURE: 47069087 https://doi.org/10.1186/s12889-022-14216-3 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
1 application/pdf |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799138109837803521 |