Effects of developing an innovation and healthcare service system on the success of treating elderly patients with pulmonary tuberculosis
Keywords:
directly observed treatment (DOT), digital medication box, tuberculosisAbstract
This quasi-experimental research aimed to evaluate the effects of an innovation and healthcare service system on the treatment outcomes of elderly patients with pulmonary tuberculosis in terms of both treatment process and success rates. The sample consisted of tuberculosis older patients receiving services at 9 tuberculosis clinics. They were selected according to inclusion criteria, and then divided into an experimental group of 88 people and a control group of 100 people. Research instruments were: 1) data collection tools; including a demographic data questionnaire, a Tuberculosis medication intake record form, an appointment follow up record form, and a treatment success rate record form; and 2) tools for the experiment, which was an innovation “digital medication box and telehealth service system”, developed by the researchers. The Mann-Whitney U test was used to compare medication adherence, while the independent t-test was employed to compare appointment compliance and treatment success rates.
The results showed that medication adherence after the experiment was significantly higher in the experimental group, with 81.68% adherence using the innovation; compared to 2.73% adherence with directly observed treatment (DOT) in the control group (p-value<0.001). Additionally, the treatment success rate was significantly higher in the experimental group, with a cure rate of 100% compared to 59% in the control group (p-value<0.001). Therefore, the digital medication box and telehealth service system positively impacted tuberculosis treatment outcomes in both treatment process and success rates. This innovation is a specific tool for the care of tuberculosis elderly patients in promoting higher treatment success rates. It will benefit tuberculosis control operations in increasing treatment success rates; leading to effectively addressing tuberculosis issues, and ensuring alignment with national and World Health Organization policies.
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