Title
Language in tuberculosis services: Can we change to patient-centred terminology and stop the paradigm of blaming the patients?
Date Issued
01 June 2012
Access level
metadata only access
Resource Type
review
Author(s)
Zachariah R.
Harries A.D.
Srinath S.
Ram S.
Viney K.
Singogo E.
Lal P.
Mendoza-Ticona A.
Sreenivas A.
Aung N.W.
Sharath B.N.
Kanyerere H.
Van Soelen N.
Kirui N.
Ali E.
Hinderaker S.G.
Bissell K.
Enarson D.A.
Edginton M.E.
Publisher(s)
International Union Against Tuberculosis and Lung Disease (The Union)
Abstract
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. © 2012 The Union.
Start page
714
End page
717
Volume
16
Issue
6
Language
English
OCDE Knowledge area
Salud pública, Salud ambiental
Sistema respiratorio
Subjects
Scopus EID
2-s2.0-84861168861
PubMed ID
Source
International Journal of Tuberculosis and Lung Disease
ISSN of the container
10273719
Sources of information:
Directorio de Producción Científica
Scopus