期刊
JANAC-JOURNAL OF THE ASSOCIATION OF NURSES IN AIDS CARE
卷 29, 期 5, 页码 698-711出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1016/j.jana.2018.04.014
关键词
antiretroviral therapy (ART); decentralization; HIV; integration; nurse initiated management of antiretroviral therapy (NIMART); quality of care (QoC)
类别
资金
- Canadian Institutes of Health Research [F10-04992, PCS-137184]
- Centre for International Governance Innovation (Grant: Africa Initiative)
HIV care integrated into primary health care (PHC) encourages reorganized service delivery but could increase workload. In 2012-2013, we surveyed 910 patients and caregivers at two time points after integration infourclinics in Free State, SouthAfrica. Likert surveys measured quality of care (QoC) and satisfaction with staff (SwS). QoC scores were lower forfemales, those older than 56 years, those visiting clinics every 3 months, and child health participants. Regression estimates showed QoC scores higher for ages 36-45 versus 18-25 years, and lower for those attending clinics for more than 10 years versus 6-12 months. Overall, SwS scores were lower for child health attendees and higher for tuberculosis attendees compared to chronic disease care attendees. Research is needed to understand determinants of disparities in QoC and SwS, especially for child health, diabetes, and hypertension attendees, to ensure high-quality care experiences for all patients attending PHC clinics with integrated HIV care. Copyright (C) 2018 Association of Nurses in AIDS Care
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