{"id":"https://openalex.org/W152160608","doi":null,"title":"Family physicians managing tuberculosis. Qualitative study of overcoming barriers.","display_name":"Family physicians managing tuberculosis. Qualitative study of overcoming barriers.","publication_year":1997,"publication_date":"1997-04-01","ids":{"openalex":"https://openalex.org/W152160608","mag":"152160608","pmid":"https://pubmed.ncbi.nlm.nih.gov/9111981","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/2255495"},"language":"en","primary_location":{"id":"pmh:oai:pubmedcentral.nih.gov:2255495","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/2255495","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Can Fam Physician","raw_type":"Text"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/2255495","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5090497126","display_name":"Lois A. Jackson","orcid":"https://orcid.org/0000-0003-0314-9890","observed_orcids":["https://orcid.org/0000-0003-0314-9890"]},"institutions":[{"id":"https://openalex.org/I185261750","display_name":"University of Toronto","ror":"https://ror.org/03dbr7087","country_code":"CA","type":"education","lineage":["https://openalex.org/I185261750"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"L Jackson","raw_affiliation_strings":["Department of Preventive Medicine and Biostatistics, University of Toronto"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Preventive Medicine and Biostatistics, University of Toronto","institution_ids":["https://openalex.org/I185261750"]}]},{"author_position":"last","author":{"id":null,"display_name":"L Yuan","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"L Yuan","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.8498,"has_fulltext":false,"cited_by_count":17,"citation_normalized_percentile":{"value":0.73416246,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":98},"biblio":{"volume":"43","issue":null,"first_page":"649","last_page":"55"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10038","display_name":"Tuberculosis Research and Epidemiology","score":0.9369999766349792,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10038","display_name":"Tuberculosis Research and Epidemiology","score":0.9369999766349792,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.03840000182390213,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12664","display_name":"Clinical practice guidelines implementation","score":0.0031999999191612005,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/tuberculosis-management","display_name":"tuberculosis management","score":0.9399999976158142},{"id":"https://openalex.org/keywords/general-practitioners","display_name":"general practitioners","score":0.9800000190734863},{"id":"https://openalex.org/keywords/tuberculosis-stigma","display_name":"tuberculosis stigma","score":0.5730000138282776},{"id":"https://openalex.org/keywords/patient-noncompliance","display_name":"patient noncompliance","score":0.8899999856948853},{"id":"https://openalex.org/keywords/community-health-centers","display_name":"community health centers","score":0.6809999942779541},{"id":"https://openalex.org/keywords/private-practice","display_name":"private practice","score":0.46399998664855957}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.699334442615509},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.6188584566116333},{"id":"https://openalex.org/C56995899","wikidata":"https://www.wikidata.org/wiki/Q1126687","display_name":"Focus group","level":2,"score":0.6106561422348022},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.5906261205673218},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.5367904901504517},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.42568427324295044},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.3889625072479248},{"id":"https://openalex.org/C36289849","wikidata":"https://www.wikidata.org/wiki/Q34749","display_name":"Social science","level":1,"score":0.0},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.0},{"id":"https://openalex.org/C162853370","wikidata":"https://www.wikidata.org/wiki/Q39809","display_name":"Marketing","level":1,"score":0.0},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.0},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D001291","descriptor_name":"Attitude of Health Personnel","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D005194","descriptor_name":"Family Practice","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D006297","descriptor_name":"Health Services Accessibility","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008511","descriptor_name":"Medicine","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D011203","descriptor_name":"Poverty","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011287","descriptor_name":"Prejudice","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012017","descriptor_name":"Referral and Consultation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013038","descriptor_name":"Specialization","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D014376","descriptor_name":"Tuberculosis","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":true},{"descriptor_ui":"D016312","descriptor_name":"Treatment Refusal","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017144","descriptor_name":"Focus Groups","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017410","descriptor_name":"Practice Guidelines as Topic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"pmh:oai:pubmedcentral.nih.gov:2255495","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/2255495","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Can Fam Physician","raw_type":"Text"},{"id":"pmid:9111981","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/9111981","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Canadian family physician Medecin de famille canadien","raw_type":"Journal Article"},{"id":"mag:152160608","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/9111981","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":{"id":"pmh:oai:pubmedcentral.nih.gov:2255495","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/2255495","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Can Fam Physician","raw_type":"Text"},"sustainable_development_goals":[{"score":0.9763000011444092,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":19,"referenced_works":["https://openalex.org/W82122075","https://openalex.org/W322705504","https://openalex.org/W1543385455","https://openalex.org/W1848542681","https://openalex.org/W1942188612","https://openalex.org/W1945493388","https://openalex.org/W1966820980","https://openalex.org/W1968533125","https://openalex.org/W1983032014","https://openalex.org/W1987140575","https://openalex.org/W1987823490","https://openalex.org/W2006215236","https://openalex.org/W2021155584","https://openalex.org/W2044737489","https://openalex.org/W2060585349","https://openalex.org/W2078549524","https://openalex.org/W2082722925","https://openalex.org/W2264811738","https://openalex.org/W2417653953"],"related_works":["https://openalex.org/W4410858509","https://openalex.org/W1664917204","https://openalex.org/W2404316722","https://openalex.org/W2566664812","https://openalex.org/W2054329119","https://openalex.org/W2413888859","https://openalex.org/W2262934684","https://openalex.org/W558274","https://openalex.org/W4404926604","https://openalex.org/W2417952496"],"abstract_inverted_index":{"OBJECTIVE:":[0],"To":[1],"identify":[2,95],"the":[3,12,112,122,129,161,183,191,223],"types":[4,39,97],"of":[5,14,40,98,114,124,182,195,202],"non-clinical":[6,81,99],"barriers":[7,82],"family":[8,33,49,87,115,151,188],"physicians":[9,34,56,88,135,152,189],"face":[10],"in":[11,37,52,60,70,74,80,143,176,190,199,205,214],"management":[13,85],"TB,":[15],"and":[16,35,48,57,89,193,198,226],"to":[17,76,83,101,107,111,147,159,165],"suggest":[18],"strategies":[19],"for":[20],"overcoming":[21],"these":[22],"barriers.":[23],"DESIGN:":[24],"Qualitative":[25],"study":[26],"based":[27],"on":[28],"focus":[29,72],"group":[30,73],"discussions":[31],"with":[32,132],"specialists":[36,58],"different":[38,61],"practices.":[41],"SETTING:":[42],"Private":[43],"practices,":[44],"community":[45],"health":[46],"centres,":[47],"practice":[50,62,116],"units":[51],"hospitals.":[53],"PARTICIPANTS:":[54],"Family":[55],"working":[59],"settings.":[63],"METHOD:":[64],"At":[65],"least":[66],"one":[67],"specialist":[68],"participated":[69],"each":[71],"order":[75],"understand":[77],"possible":[78],"differences":[79,219],"TB":[84,102,148,167,177,206],"between":[86],"specialists.":[90],"MAIN":[91],"FINDINGS:":[92],"Physicians":[93],"can":[94],"many":[96],"obstacles":[100,105,184],"management.":[103,149],"Some":[104,134,170],"appear":[106],"be":[108,210],"directly":[109],"related":[110],"organization":[113,192],"medicine,":[117],"while":[118],"others":[119],"stem":[120],"from":[121],"type":[123],"patient":[125,140],"population":[126],"seen":[127],"or":[128,138],"stigma":[130],"associated":[131],"TB.":[133],"question":[136],"whether":[137],"not":[139],"\"noncompliance\"":[141],"is":[142],"fact":[144],"a":[145],"barrier":[146],"Many":[150],"believe":[153],"that":[154],"they":[155],"have":[156],"readily":[157],"available":[158],"them":[160],"expert":[162],"opinion":[163],"needed":[164],"manage":[166],"effectively.":[168],"CONCLUSIONS:":[169],"specific":[171],"interventions,":[172],"such":[173,218],"as":[174],"changes":[175],"guidelines,":[178],"could":[179,220],"overcome":[180],"some":[181],"identified.":[185],"Differences":[186],"among":[187],"nature":[194],"their":[196,200,203],"practice,":[197],"understanding":[201],"role":[204],"management,":[207],"however,":[208],"should":[209],"taken":[211],"into":[212],"account":[213],"developing":[215],"interventions":[216],"because":[217],"influence":[221],"both":[222],"need":[224],"for,":[225],"receptivity":[227],"to,":[228],"any":[229],"changes.":[230]},"counts_by_year":[{"year":2017,"cited_by_count":4},{"year":2015,"cited_by_count":1},{"year":2012,"cited_by_count":2}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}