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A temporal analysis on patient and health service delays in pulmonary tuberculosis in Portugal

Bibliographic Details
Main Author: Chakma, Bhaswar
Publication Date: 2022
Other Authors: Gomes, Dulce, Filipe, Patrícia A., Soares, Patrícia, de Sousa, Bruno, Nunes, Carla
Format: Article
Language: eng
Source: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
Download full: http://hdl.handle.net/10362/144665
Summary: Publisher Copyright: © 2022. The Author(s).
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spelling 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:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAP2024-05-22T18:05:55Zoai:run.unl.pt:10362/144665Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-28T17:36:41.088435Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse
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:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron:RCAAP
instname_str FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron_str RCAAP
institution RCAAP
reponame_str Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
collection Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
repository.name.fl_str_mv Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
repository.mail.fl_str_mv info@rcaap.pt
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