Telephone surveys for the study of catastrophic costs due to tuberculosis in Colombia: a novel tool/ Encuestas telefonicas para el estudio de costos catastroficos por tuberculosis en Colombia: una herramienta innovadora/Pesquisas telefonicas para um estudo de custos catastroficos da tuberculosena Colombia: uma ferramenta inovadora

The study of catastrophic costs incurred by people affected by tuberculosis (TB), conducted in Colombia during the COVID-19 pandemic, provided the opportunity to implement telephone surveys for data collection. This constitutes a methodological innovation regarding the standards established by the W...

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Published inRevista panamericana de salud pública Vol. 48
Main Authors Cruz, Oscar, Puerto Castro, Gloria Mercedes, Garcia, Ingrid, Lopez Perez, Martha Patricia, Moreno Cubides, Juan Carlos, Alvis Zakzuk, Nelson, Sanchez, Angela Maria, Trujillo Trujillo, Julian, Rubio, Vivian Vanesa, Castro Osorio, Claudia Marcela, Vasquez Chaves, Luisa Fernanda, Nguhiu, Peter, Garcia Baena, Ines, Montoro, Ernesto, Gonzalvez, Guillermo
Format Journal Article
LanguageSpanish
Published Pan American Health Organization 01.09.2024
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Abstract The study of catastrophic costs incurred by people affected by tuberculosis (TB), conducted in Colombia during the COVID-19 pandemic, provided the opportunity to implement telephone surveys for data collection. This constitutes a methodological innovation regarding the standards established by the World Health Organization (WHO) which, for this type of study, usually rely on face-to-face surveys of patients attending health facilities. The study design, objectives, and methodology were adapted from the WHO publication Tuberculosis patient cost surveys: a handbook. A total of 1065 people affected by tuberculosis were selected as study participants and, by telephone, were administered a standard questionnaire adapted to the Colombian context. This allowed the collection of structured data on the direct and indirect costs faced by TB patients and their families. Greater than 80% completeness was achieved for all variables of interest, with an average survey duration of 40 minutes and a rejection rate of 8%. The described survey method to determine the baseline for further study of catastrophic costs in Colombia was novel because of its telephone-based format, which adheres to the information standards required to allow internationally comparable estimates. It is a useful means of generating standardized results in contexts in which the ability to conduct face-to-face surveys is limited. Keywords Tuberculosis; socioeconomic survey; catastrophic health expenditure; direct service costs; diffusion of innova tion; telephone; Colombia. El estudio de costos catastroficos que experimentan las personas afectadas por tuberculosis realizado en Colombia durante la pandemia de COVID-19 trajo consigo la oportunidad de implementar encuestas telefonicas como medio para la recopilacion de informacion. Lo anterior se constituye como una innovacion metodologica en los estandares establecidos por la Organizacion Mundial de la Salud (OMS) que, para este tipo de estudios, suelen tener base en el empleo de encuestas cara a cara con los pacientes que acuden a las instalaciones de salud. El diseno del estudio, sus objetivos y metodologia fueron adaptados del manual practico para la realizacion de encuestas de costos de la tuberculosis de la OMS. Se seleccionaron 1 065 personas afectadas por tuberculosis como participantes del estudio, a quienes se les administro de manera telefonica el cuestionario estandar adaptado al contexto colombiano. Fue posible obtener datos estructurados sobre los costos directos e indirectos que enfrentan los pacientes con tuberculosis y sus familias; de manera general, se observo que todas las variables de recopilacion alcanzaron una completitud mayor a 80%, con un tiempo promedio de encuesta de 40 minutos y una tasa de rechazo de 8%. La metodologia de encuestas telefonicas desarrollada para determinar la linea base del estudio de costos catastroficos en Colombia resulto innovadora por el formato telefonico, que mantiene los estandares de informacion requerida para permitir estimaciones comparables a nivel internacional, y es un medio util en la generacion de resultados estandarizados en eventos en los cuales existe limitacion para la realizacion de encuestas cara a cara. Palabras clave Tuberculosis; encuesta socioeconomica; gasto catastrofico en salud; costos directos de servicios; difusion de innovaciones; llamadas telefonicas; Colombia. O estudo dos custos catastroficos incorridos pelas pessoas afetadas pela tuberculose realizado na Colom bia durante a pandemia de COVID-19 representou uma oportunidade de implementar pesquisas telefonicas como forma de coleta de dados. Constitui-se uma inovacao metodologica dos padroes estabelecidos pela Organizacao Mundial da Saude (OMS), que, para esse tipo de estudo, geralmente se baseiam no uso de pesquisas presenciais com os pacientes que frequentam estabelecimentos de saude. O delineamento, os objetivos e a metodologia do estudo foram adaptados do manual pratico da OMS para a realizacao de pesquisas de custos da tuberculose. Um total de 1065 pessoas afetadas pela tuberculose foram selecionadas para participar do estudo. O questionario padrao, adaptado ao contexto colombiano, foi aplicado pelo telefone. Foi possivel obter dados estruturados sobre os custos diretos e indiretos enfrentados pelos pacientes com tuberculose e suas familias. Em geral, observou-se que todas as variaveis de coleta atingiram uma completude de mais de 80%, com um tempo medio de pesquisa de 40 minutos e uma taxa de recusa de 8%. A metodologia de pesquisa telefonica desenvolvida para determinar a linha de base do estudo de custos catastroficos na Colombia foi inovadora devido ao formato telefonico, que mantem os padroes de informacao necessarios para permitir estimativas comparaveis internacionalmente e e uma forma util de gerar resultados padronizados em circunstancias em que ha limitacoes para a realizacao de pesquisas presenciais. Palavras-chave Tuberculose; enquete socioeconomica; gasto catastrofico em saude; custos diretos de servicos; difusao de inovacoes; Colombia.
AbstractList The study of catastrophic costs incurred by people affected by tuberculosis (TB), conducted in Colombia during the COVID-19 pandemic, provided the opportunity to implement telephone surveys for data collection. This constitutes a methodological innovation regarding the standards established by the World Health Organization (WHO) which, for this type of study, usually rely on face-to-face surveys of patients attending health facilities. The study design, objectives, and methodology were adapted from the WHO publication Tuberculosis patient cost surveys: a handbook. A total of 1065 people affected by tuberculosis were selected as study participants and, by telephone, were administered a standard questionnaire adapted to the Colombian context. This allowed the collection of structured data on the direct and indirect costs faced by TB patients and their families. Greater than 80% completeness was achieved for all variables of interest, with an average survey duration of 40 minutes and a rejection rate of 8%. The described survey method to determine the baseline for further study of catastrophic costs in Colombia was novel because of its telephone-based format, which adheres to the information standards required to allow internationally comparable estimates. It is a useful means of generating standardized results in contexts in which the ability to conduct face-to-face surveys is limited. Keywords Tuberculosis; socioeconomic survey; catastrophic health expenditure; direct service costs; diffusion of innova tion; telephone; Colombia. El estudio de costos catastroficos que experimentan las personas afectadas por tuberculosis realizado en Colombia durante la pandemia de COVID-19 trajo consigo la oportunidad de implementar encuestas telefonicas como medio para la recopilacion de informacion. Lo anterior se constituye como una innovacion metodologica en los estandares establecidos por la Organizacion Mundial de la Salud (OMS) que, para este tipo de estudios, suelen tener base en el empleo de encuestas cara a cara con los pacientes que acuden a las instalaciones de salud. El diseno del estudio, sus objetivos y metodologia fueron adaptados del manual practico para la realizacion de encuestas de costos de la tuberculosis de la OMS. Se seleccionaron 1 065 personas afectadas por tuberculosis como participantes del estudio, a quienes se les administro de manera telefonica el cuestionario estandar adaptado al contexto colombiano. Fue posible obtener datos estructurados sobre los costos directos e indirectos que enfrentan los pacientes con tuberculosis y sus familias; de manera general, se observo que todas las variables de recopilacion alcanzaron una completitud mayor a 80%, con un tiempo promedio de encuesta de 40 minutos y una tasa de rechazo de 8%. La metodologia de encuestas telefonicas desarrollada para determinar la linea base del estudio de costos catastroficos en Colombia resulto innovadora por el formato telefonico, que mantiene los estandares de informacion requerida para permitir estimaciones comparables a nivel internacional, y es un medio util en la generacion de resultados estandarizados en eventos en los cuales existe limitacion para la realizacion de encuestas cara a cara. Palabras clave Tuberculosis; encuesta socioeconomica; gasto catastrofico en salud; costos directos de servicios; difusion de innovaciones; llamadas telefonicas; Colombia. O estudo dos custos catastroficos incorridos pelas pessoas afetadas pela tuberculose realizado na Colom bia durante a pandemia de COVID-19 representou uma oportunidade de implementar pesquisas telefonicas como forma de coleta de dados. Constitui-se uma inovacao metodologica dos padroes estabelecidos pela Organizacao Mundial da Saude (OMS), que, para esse tipo de estudo, geralmente se baseiam no uso de pesquisas presenciais com os pacientes que frequentam estabelecimentos de saude. O delineamento, os objetivos e a metodologia do estudo foram adaptados do manual pratico da OMS para a realizacao de pesquisas de custos da tuberculose. Um total de 1065 pessoas afetadas pela tuberculose foram selecionadas para participar do estudo. O questionario padrao, adaptado ao contexto colombiano, foi aplicado pelo telefone. Foi possivel obter dados estruturados sobre os custos diretos e indiretos enfrentados pelos pacientes com tuberculose e suas familias. Em geral, observou-se que todas as variaveis de coleta atingiram uma completude de mais de 80%, com um tempo medio de pesquisa de 40 minutos e uma taxa de recusa de 8%. A metodologia de pesquisa telefonica desenvolvida para determinar a linha de base do estudo de custos catastroficos na Colombia foi inovadora devido ao formato telefonico, que mantem os padroes de informacao necessarios para permitir estimativas comparaveis internacionalmente e e uma forma util de gerar resultados padronizados em circunstancias em que ha limitacoes para a realizacao de pesquisas presenciais. Palavras-chave Tuberculose; enquete socioeconomica; gasto catastrofico em saude; custos diretos de servicos; difusao de inovacoes; Colombia.
The study of catastrophic costs incurred by people affected by tuberculosis (TB), conducted in Colombia during the COVID-19 pandemic, provided the opportunity to implement telephone surveys for data collection. This constitutes a methodological innovation regarding the standards established by the World Health Organization (WHO) which, for this type of study, usually rely on face-to-face surveys of patients attending health facilities. The study design, objectives, and methodology were adapted from the WHO publication Tuberculosis patient cost surveys: a handbook. A total of 1065 people affected by tuberculosis were selected as study participants and, by telephone, were administered a standard questionnaire adapted to the Colombian context. This allowed the collection of structured data on the direct and indirect costs faced by TB patients and their families. Greater than 80% completeness was achieved for all variables of interest, with an average survey duration of 40 minutes and a rejection rate of 8%. The described survey method to determine the baseline for further study of catastrophic costs in Colombia was novel because of its telephone-based format, which adheres to the information standards required to allow internationally comparable estimates. It is a useful means of generating standardized results in contexts in which the ability to conduct face-to-face surveys is limited.
Audience Academic
Author Nguhiu, Peter
Trujillo Trujillo, Julian
Gonzalvez, Guillermo
Cruz, Oscar
Garcia, Ingrid
Moreno Cubides, Juan Carlos
Rubio, Vivian Vanesa
Lopez Perez, Martha Patricia
Sanchez, Angela Maria
Montoro, Ernesto
Garcia Baena, Ines
Vasquez Chaves, Luisa Fernanda
Puerto Castro, Gloria Mercedes
Alvis Zakzuk, Nelson
Castro Osorio, Claudia Marcela
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