TY - JOUR
KW - Africa
KW - Asia
KW - Attitude of Health Personnel
KW - Coercion
KW - Emotions
KW - Europe
KW - Health Knowledge, Attitudes, Practice
KW - Humans
KW - Judgment
KW - Language
KW - Latin America
KW - Lost to Follow-Up
KW - Patient-Centered Care
KW - Patients
KW - Power (Psychology)
KW - Terminology as Topic
KW - Tuberculosis
AU - Zachariah R
AU - Harries A D
AU - Srinath S
AU - Ram S
AU - Viney K
AU - Singogo E
AU - Lal P
AU - Mendoza-Ticona A
AU - Sreenivas A
AU - Aung N W
AU - Sharath B N
AU - Kanyerere H
AU - Soelen N
AU - Kirui N
AU - Ali E
AU - Hinderaker S G
AU - Bissell K
AU - Enarson D A
AU - Edginton M E
AB - <p>The words 'defaulter', 'suspect' and 'control' have been part of the language of tuberculosis (TB) services for many decades, and they continue to be used in international guidelines and in published literature. From a patient perspective, it is our  opinion that these terms are at best inappropriate, coercive and disempowering, and at worst they could be perceived as judgmental and criminalising, tending to place the blame of the disease or responsibility for adverse treatment outcomes on one side-that of the patients. In this  article, which brings together a wide range of authors and institutions from Africa, Asia, Latin America, Europe and the Pacific, we discuss the use of the words 'defaulter', 'suspect' and 'control' and argue why it is detrimental to continue using them  in the context of TB. We propose that 'defaulter' be replaced with 'person lost to follow-up'; that 'TB suspect' be replaced by 'person with presumptive TB' or 'person to be evaluated for TB'; and that the term 'control'  be replaced with 'prevention and care' or simply deleted. These terms are non-judgmental and patient-centred. We appeal to the global Stop TB Partnership to lead discussions on this issue and to make concrete steps towards changing the current paradigm.</p>
BT - The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease
C1 - http://www.ncbi.nlm.nih.gov/pubmed/22613683?dopt=Abstract
CN - ZACHARIA 2012
DA - 2012 Jun
DO - 10.5588/ijtld.11.0635
IS - 6
J2 - Int. J. Tuberc. Lung Dis.
LA - eng
N2 - <p>The words 'defaulter', 'suspect' and 'control' have been part of the language of tuberculosis (TB) services for many decades, and they continue to be used in international guidelines and in published literature. From a patient perspective, it is our  opinion that these terms are at best inappropriate, coercive and disempowering, and at worst they could be perceived as judgmental and criminalising, tending to place the blame of the disease or responsibility for adverse treatment outcomes on one side-that of the patients. In this  article, which brings together a wide range of authors and institutions from Africa, Asia, Latin America, Europe and the Pacific, we discuss the use of the words 'defaulter', 'suspect' and 'control' and argue why it is detrimental to continue using them  in the context of TB. We propose that 'defaulter' be replaced with 'person lost to follow-up'; that 'TB suspect' be replaced by 'person with presumptive TB' or 'person to be evaluated for TB'; and that the term 'control'  be replaced with 'prevention and care' or simply deleted. These terms are non-judgmental and patient-centred. We appeal to the global Stop TB Partnership to lead discussions on this issue and to make concrete steps towards changing the current paradigm.</p>
PY - 2012
SP - 714
EP - 7
T2 - The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease
TI - Language in tuberculosis services: can we change to patient-centred terminology and stop the paradigm of blaming the patients?
VL - 16
SN - 1815-7920
ER -