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Surveying the Knowledge and Practices of Health Professionals in China, India, Iran, and Mexico on Treating Tuberculosis Publisher Pubmed



Hoffman SJ1 ; Guindon GE2 ; Lavis JN3 ; Randhawa H3 ; Becerraposada F4, 14 ; Dejman M5 ; Falahat K6 ; Malekafzali H7 ; Ramachandran P8 ; Shi G9 ; Yesudian CAK10 ; Cameron D1 ; Qiu T9 ; Osei EJA11 Show All Authors
Authors
  1. Hoffman SJ1
  2. Guindon GE2
  3. Lavis JN3
  4. Randhawa H3
  5. Becerraposada F4, 14
  6. Dejman M5
  7. Falahat K6
  8. Malekafzali H7
  9. Ramachandran P8
  10. Shi G9
  11. Yesudian CAK10
  12. Cameron D1
  13. Qiu T9
  14. Osei EJA11
  15. Dovlo K11
  16. Baradaran M6
  17. Habibi E6
  18. Kohanzad H6
  19. Nasehi M6
  20. Salek S6
  21. Akanov AA12
  22. Turdaliyeva BS12
  23. Hamzina NK12
  24. Tulebaev KA12
  25. Clazhneva TI12
  26. Battakova G12
  27. Boupha B13
  28. Kounnavong S13
  29. Siengsounthone L13
  30. Ramos LA14
  31. Mejia I14
  32. Akhtar T15
  33. Khan MMA15
  34. Sidibe MF16
  35. Sidibe A16
  36. Ndiaye D16
  37. Ndossi GD17
  38. Massaga J17
  39. Sadana R18
  40. Pang T18
Show Affiliations
Authors Affiliations
  1. 1. Global Strategy Lab, Faculty of Law, University of Ottawa, Fauteux Hall, 57 Louis Pasteur Street, Ottawa, K1N 6N5, ON, Canada
  2. 2. Centre for Health Economics and Policy Analysis, McMaster University, Hamilton, ON, Canada
  3. 3. McMaster Health Forum, McMaster University, Hamilton, ON, Canada
  4. 4. Pan American Health Organization, Washington, DC, United States
  5. 5. Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States
  6. 6. Deputy of Research and Technology, Ministry of Health and Medical Education, Tehran, Iran
  7. 7. Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  8. 8. Valmar International, Mumbai, India
  9. 9. Department of Policy Research, Chinese Peasants' and Workers' Democratic Party, Beijing, China
  10. 10. Health Systems Consultant and Trainer, Mumbai, India
  11. 11. Ghana
  12. 12. Kazakhstan
  13. 13. Laos
  14. 14. Mexico
  15. 15. Pakistan
  16. 16. Senegal
  17. 17. Tanzania
  18. 18. World Health Organization, United States

Source: American Journal of Tropical Medicine and Hygiene Published:2016


Abstract

Research evidence continues to reveal findings important for health professionals' clinical practices, yet it is not consistently disseminated to those who can use it. The resulting deficits in knowledge and service provision may be especially pronounced in low- and middle-income countries that have greater resource constraints. Tuberculosis treatment is an important area for assessing professionals' knowledge and practices because of the effectiveness of existing treatments and recognized gaps in professionals' knowledge about treatment. This study surveyed 384 health professionals in China, India, Iran, and Mexico on their knowledge and practices related to tuberculosis treatment. Few respondents correctly answered all five knowledge questions (12%) or self-reported performing all five recommended clinical practices often or very often (3%). Factors associated with higher knowledge scores included clinical specialization and working with researchers. Factors associated with better practices included training in the care of tuberculosis patients, being based in a hospital, trusting systematic reviews of randomized controlled double-blind trials, and reading summaries of articles, reports, and reviews. This study highlights several strategies that may prove effective in improving health professionals' knowledge and practices related to tuberculosis treatment. Facilitating interactions with researchers and training in acquiring systematic reviews may be especially helpful. Copyright © 2016 by The American Society of Tropical Medicine and Hygiene.