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Use of standardised patients to assess gender differences in quality of tuberculosis care in urban India: A two-city, cross-sectional study

The Lancet Global Health Apr 19, 2019

Daniels B, et al. - Since men are more likely to have active tuberculosis than women in India but less likely to be diagnosed and sent to national tuberculosis programs, researchers used data from standardized patient visits to evaluate if these gender differences occur as a result of provider practice. They analyzed clinical interactions in Mumbai (population 12 million) and urban Patna (2 million) using scripted patients depicting four tuberculosis case scenarios at health facilities. Within any case scenario, setting, provider gender, or provider qualification, they found no differences in correct management by patient gender and no differences across gender. The observed under-representation of men in tuberculosis notifications in urban India is unlikely to be the cause of systematic differences in the quality of care.

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