Conflicting accountabilities: Doctor's dilemma in TB control in rural India

Health Policy

Volumn 89, Issue 2, 2009, Pages 160-167

  Fochsen, Grethe ^a   Deshpande, Kirti ^b   Ringsberg, Karin C ^c   Thorson, Anna ^a  

^a KAROLINSKA INSTITUTE   (Sweden)

^b Ruxmaniben Deepchand Gardi Medical college   (India)

^c NORDIC SCHOOL OF PUBLIC HEALTH   (Sweden)

Author keywords

DOTS; India; Medical encounters; Tuberculosis

Indexed keywords

CONFLICT (PSYCHOLOGY); DIRECTLY OBSERVED THERAPY; INDIA; INTERVIEWS AS TOPIC; PHYSICIAN-PATIENT RELATIONS; RURAL POPULATION; SOCIAL RESPONSIBILITY; TUBERCULOSIS;

EID: 58349087419     PISSN: 01688510     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.healthpol.2008.05.013     Document Type: Article

References (27)

1. World Health Organization. Global tuberculosis control: surveillance, planning, financing, Geneva; 2007.
2. Hurtig A.K., Porter J.D., and Ogden J.A. Tuberculosis control and directly observed therapy from the public health/human rights perspective. International Journal of Tuberculosis and Lung Disease 3 7 (1999) 553-560
3. Porter J., Ogden J., and Pronyk P. Infectious disease policy: towards the production of health. Health Policy Plan 14 4 (1999) 322-328
4. Raviglione M.C., and Uplekar M.W. WHO's new stop TB strategy. The Lancet 367 (2006) 952-955
5. Narayanan P.R., Renu G., Santha T., and Kumaran P.P. Shifting the focus of tuberculosis research in India. Tuberculosis 83 (2003) 135-142
6. Khatri G.R., and Frieden T.R. Rapid DOTS expansion in India. Bulletin of the World Health Organization 80 6 (2002) 457-463
7. Uplekar M., Pathania V., and Raviglione M. Private practitioners and public health: weak links in tuberculosis control. Lancet 358 (2001) 912-916
8. Charles C., Gafni A., and Whelan T. Shared decision-making in the medical encounter: what does it mean? (or it takes at least two to tango). Social Science and Medicine 44 5 (1997) 681-692
9. Potter S.J., and McKinlay J.B. From a relationship to encounter: an examination of longitudinal and lateral dimensions in the doctor-patient relationship. Social Science and Medicine 61 2 (2005) 465-479
10. Datye V., Kielmann K., Sheikh K., Deshmukh D., Deshpande S., Porter J., et al. Private practitioners' communications with patients around HIV testing in Pune, India. Health Policy and Planning 21 5 (2006) 343-352
11. Fochsen G., Deshpande K., and Thorson A. Power imbalance and consumerism in the doctor-patient relationship: health care providers' experiences of patient encounters in a rural district in India. Qualitative Health Research 16 9 (2006) 1236-1251
12. Graneheim U.H., and Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Education Today 24 2 (2004) 105-112
13. Nvivo7 software program. QSR International Pty. Ltd.; 2006.
14. Noyes J., and Popay J. Directly observed therapy and tuberculosis: how can a systematic review of qualitative research contribute to improving services? A qualitative meta-synthesis. Journal of Advanced Nursing 57 3 (2007) 227-243
15. Sandelowski M. The problem of rigor in qualitative research. Advances in Nursing Science 8 3 (1986) 27-37
16. RNTCP. Technical and Operational Guidelines for Tuberculosis Control, Central TB Division, Directorate General of Health Services, Ministry of Health and Family Welfare, New Delhi; 2005.
17. Shortell S.M., Waters T.M., Clarke K.W., and Budetti P.P. Physicians as double agents: maintaining trust in an era of multiple accountabilities. Journal of American Medical Association 280 12 (1998) 1102-1108
18. Castellani B., and Wear D. Physician views on practicing professionalism in the corporate age. Qualitative Health Research 10 4 (2000) 490-506
19. Hoa N.P., and Thorson A.E. Excess mortality and tuberculosis among individuals with prolonged cough: a population-based study from Vietnam. International Journal of Tuberculosis and Lung Disease 10 8 (2006) 851-856
20. Fochsen G., Deshpande K., Mishra A., Diwan V., Diwan V.K., and Thorson A. Health care seeking among individuals with cough and tuberculosis: a population-based study from rural India. International Journal of Tuberculosis and Lung Disease 10 9 (2006) 995-1000
21. Prasad R., Nautiyal R.G., Mukherji P.K., Jain A., Singh K., and Ahuja R.C. Diagnostic evaluation of pulmonary tuberculosis: what do doctors of modern medicine do in India?. International Journal of Tuberculosis and Lung Disease 7 1 (2003) 52-57
22. Anandhi C., Nagaraj V., and Kumar R. Knowledge and practice pattern of non-allopathic indigenous medical practitioners regarding tuberculosis in a rural area of India. International Journal of Tuberculosis and Lung Diseases 6 6 (2002) 553-555
23. RNTCP. TB India. RNTCP Status Report: Central TB Division, Directorate General of Health Services, Ministry of Health and Family Welfare; 2008.
24. De Costa A., and Diwan V. 'Where is the public health sector?' Public and private sector healthcare provision in Madhya Pradesh, India. Health Policy 84 2-3 (2007) 269-276
25. Singh V., Jaiswal A., Porter J.D., Ogden J.A., Sarin R., Sharma P.P., et al. TB control, poverty, and vulnerability in Delhi, India. Tropical Medicine and International Health 7 8 (2002) 693-700
26. Nair V., Thankappan K., Sarma P., and Vasan R. Changing roles of grass-root level health workers in Kerala, India. Health Policy and Planning 16 2 (2001) 171-179
27. World Health Organization. Stop TB partnership, Annual Report, Geneva; 2006.