{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:34:23Z","timestamp":1787020463965,"version":"build-2736575974"},"reference-count":42,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,12,7]],"date-time":"2022-12-07T00:00:00Z","timestamp":1670371200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,12,7]],"date-time":"2022-12-07T00:00:00Z","timestamp":1670371200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Health Serv Res"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Continuity of care remains a challenge for TB patients who are discharged from hospital and referred to primary health care clinics in South Africa. The aim of this study was to explore the experiences and perceptions of patients, health care workers and family members regarding continuity of TB care in a Cape Town health district.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted one-on-one interviews, using semi-structured interview guides, with TB patients and their families and health care workers. We also conducted focus group interviews with other health care workers who performed similar duties. Field notes were kept and patients\u2019 home circumstances were also physically observed. Data saturation was achieved after 31 interviews. We used Miles and Huberman\u2019s qualitative data analysis framework to interpret the data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Themes identified in the interviews were grouped into two categories: (1)\u00a0\u00a0patients\u2019 socio-economic circumstances including complex family relationships, good or lack of family support, inadequate income, and agency; and (2)\u00a0health system challenges, including inadequate referral links between the clinic and the hospital and negative emotions as a result of poor service delivery experienced by patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Some TB Patients experienced poor continuity of care on discharge from hospitals to primary health clinics and perceived that this resulted from socio-economic conditions and health system-related problems that triggered negative emotions. Proper communication between the hospital and clinic regarding patients\u2019 care, adequate counselling, and patient-centred treatment are required to address poor continuity of care among patients with TB down-referred to clinics.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12913-022-08880-9","type":"journal-article","created":{"date-parts":[[2022,12,6]],"date-time":"2022-12-06T19:04:15Z","timestamp":1670353455000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["A qualitative exploration of continuity of TB care in clinics after discharge from hospitals in Cape Town, South Africa"],"prefix":"10.1186","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8903-4001","authenticated-orcid":false,"given":"Idriss Ibrahim","family":"Kallon","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8930-7863","authenticated-orcid":false,"given":"Christopher J","family":"Colvin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,12,7]]},"reference":[{"key":"8880_CR1","unstructured":"World Health Organization. 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The ethical committees approved data collecting tools. All data collecting activities were performed in accordance with relevant guidelines and regulations. We distributed information sheets to each participant, explaining the voluntary participation and providing information about the study. We assured participants that their real names will not be used in any content or publication and gave all participants pseudonyms. Each participant signed an informed consent to participate in the study. No participant was paid for their participation in the study. We provided light refreshments to all participants during each interview.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests as defined by the BMC, or other interests that might be perceived to influence the results and\/or discussion reported in this paper. This paper was part of a PhD study by the first author.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"1489"}}