Table 3.
HCW timea spent on patient encounters at each step along LTBI Cascade of Care Steps – By HCW cadre
| LTBI Cascade of Care Steps | Number of HCW observed performing each Step | Total number of observed HCW-patient encounters at each Step | Mean time (minutes) spent on each encounter (Std. Dev.) | Median time (minutes) spent on each encounter (IQR) |
|---|---|---|---|---|
| 1. Identify contacts | ||||
| Doctor | 16 | 22 | 13.0 (7.6) | 15.0 (7, 18) |
| Nurse | 16 | 48 | 9.2 (11.3) | 4.0 (2, 12) |
| Other HCWb | 1 | 3 | 14.7 (12.7) | 10.0 (5, 29) |
| 2. Place TST | ||||
| Doctor | 2 | 2 | 4.0 (-) | 4.0 (-) |
| Nurse | 19 | 50 | 9.7 (7.7) | 8.5 (3, 13) |
| Other HCWb | 1 | 12 | 2.1 (0.7) | 2.0 (2, 3) |
| 3. Read TST | ||||
| Doctor | - | - | - | - |
| Nurse | 17 | 59 | 6.4 (6.1) | 4.0 (2, 9) |
| Other HCWb | - | - | - | - |
| 4. Conduct Medical Evaluation | ||||
| Doctor | 19 | 67 | 12.7 (6.2) | 13.0 (8, 16) |
| Nurse | 21 | 37 | 11.6 (10.2) | 7.0 (3, 16) |
| Other HCWb | 3 | 12 | 10.3 (7.9) | 8.5 (6, 14) |
| 5. Recommend and discuss LTBI treatment | ||||
| Doctor | 20 | 55 | 12.3 (7.4) | 10.0 (9, 14) |
| Nurse | 20 | 77 | 9.7 (9.5) | 5.0 (4, 12) |
| Other HCWb | 2 | 11 | 10.9 (5.2) | 11.0 (7, 15) |
| 6. LTBI treatment follow-up | ||||
| Doctor | 17 | 65 | 7.2 (5.0) | 5.0 (4, 10) |
| Nurse | 34 | 176 | 11.0 (9.5) | 7.0 (2, 16) |
| Other HCWb | 5 | 35 | 5.1 (6.6) | 2.0 (2, 7) |
aTime from 83 HCW participating in at least one LTBI patient encounter along the steps of the cascade
bNote: Other HCWs include: health assistants, social workers, sociologists and pharmacists