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Table 2 HCW timea spent on patient encounters at each step along the LTBI Cascade of Care – Canada vs. low- and middle-income countries (Includes initial greeting, explanation, activity, instructions, and documentation)

From: Resource implications of the latent tuberculosis cascade of care: a time and motion study in five countries

LTBI Cascade of Care StepsNumber of HCW performing each Step on TAM dayTotal number of LTBI patient encounters with HCW at each Step on TAM dayMean time spent on each Step (Std. Dev.)Median time spent on each Step (IQR)
1. Identify contacts (all sites)337310.5 (10.4)6.0 (2, 16)
 Canadaa203914.0 (11.2)12.0 (5, 21)
 LMICb13346.6 (8.0)2.5 (2, 7)
2. Place TSTc (all sites)22648.1 (7.5)5.5 (2, 12)
 Canada133213.1 (7.1)11.0 (9, 15)
 LMIC9323.1 (3.4)2.0 (2, 4)
3. Read TSTc (all sites)17596.4 (6.1)4.0 (2, 9)
 Canada112211.9 (6.9)10.5 (8, 14)
 LMIC6373.2 (1.6)3.0 (2, 4)
4. Conduct Medical Evaluation (all sites)4311612.1 (7.8)11.0 (6, 16)
 Canada339013.0 (7.9)12.0 (7, 17)
 LMIC10269.0 (6.6)7.5 (2, 15)
5. Recommend and discuss LTBI treatment (all sites)4214310.8 (8.5)9.0 (4, 13)
 Canada349213.9 (8.9)11.0 (8, 18)
 LMIC8515.3 (3.5)4.0 (4, 5)
6. LTBI treatment follow-up (all sites)562769.3 (9.5)6.0 (2, 12)
 Canada4419112.0 (9.9)9.0 (5, 16)
 LMIC12853.4 (4.4)2.0 (1, 5)
  1. aTime from 83 HCW participating in at least one LTBI patient encounter along the steps of the cascade
  2. aCanada is the one high-income country
  3. bLow-and middle-income countries (LMIC) include: Benin, Ghana, Indonesia, Vietnam
  4. cSteps 2 & 3 may include HCW time spent on patient education, in addition to placing and reading a TST