scholarly journals Perceived satisfaction with HIV care and its association with adherence to antiretroviral therapy and viral suppression in the African Cohort Study

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Nancy Somi ◽  
Nicole Dear ◽  
Domonique Reed ◽  
Ajay Parikh ◽  
Anange Lwilla ◽  
...  
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Health Care Worker ◽  
Viral Suppression ◽  
Hiv Care ◽  
Satisfaction With Care ◽  
Art Adherence ◽  
Worker Attitudes ◽  
Care Worker

Abstract Background Increased availability of HIV care over the past decade has dramatically reduced morbidity and mortality among people living with HIV (PLWH) in sub-Saharan Africa. However, perceived and experienced barriers to care, including dissatisfaction with services, may impact adherence and viral suppression. We examined the associations between satisfaction with HIV care and antiretroviral therapy (ART) adherence and viral load suppression. Methods The African Cohort Study (AFRICOS) is a prospective observational study conducted at PEPFAR-supported clinics in four African countries. At enrollment and twice-yearly study visits, participants received a clinical assessment and a socio-behavioral questionnaire was administered. Participants were classified as dissatisfied with care if they reported dissatisfaction with any of the following: waiting time, health care worker skills, health care worker attitudes, quality of clinic building, or overall quality of care received. Robust Poisson regression was used to estimate prevalence ratios and 95% confidence intervals (CIs) for associations between satisfaction with care and ART adherence and between satisfaction with care and viral suppression (viral load < 1000 copies/mL). Results As of 1 March 2020, 2928 PLWH were enrolled and 2311 had a year of follow-up visits. At the first annual follow-up visit, 2309 participants responded to questions regarding satisfaction with quality of care, and 2069 (89.6%) reported satisfaction with care. Dissatisfaction with waiting time was reported by 177 (7.6%), building quality by 59 (2.6%), overall quality of care by 18 (0.8%), health care worker attitudes by 16 (0.7%), and health care worker skills by 15 (0.7%). After adjusting for age and site, there was no significant difference in viral suppression between those who were satisfied with care and those who were dissatisfied (aPR: 1.03, 95% CI 0.97–1.09). Satisfaction with HIV care was moderately associated with ART adherence among AFRICOS participants (aPR: 1.09; 95% CI 1.00–1.16). Conclusions While patient satisfaction in AFRICOS was high and the association between perceived quality of care and adherence to ART was marginal, we did identify potential target areas for HIV care improvement, including reducing clinic waiting times.

Occupational and Longitudinal Differences in Health-Care and Non-Health-Care Worker Attitudes Concerning AIDS Exposures and Work:

1995 ◽  
Vol 12 (4) ◽  
pp. 113-129
Author(s):  
Ian A. Miners ◽  
Nicholas Nykodym ◽  
Jack L. Simonetti ◽  
Warren R. Nielson
Keyword(s):  
Health Care ◽  
Health Care Worker ◽  
Worker Attitudes ◽  
Care Worker

The Impact of Surgical Site Infection on Health-related Quality of Life: A Systematic Review

2021 ◽  
Vol 67 (6) ◽  
pp. 10-19
Author(s):  
Pinar Avsar ◽  
Declan Patton ◽  
Karen Ousey ◽  
Joanna Blackburn ◽  
Tom O'Connor ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Surgical Site Infection ◽  
Health Care Worker ◽  
Short Form ◽  
Site Infection ◽  
Patient Relationship ◽  
Care Worker ◽  
The Impact

BACKGROUND: Surgical site infection (SSI) is a common postoperative concern. PURPOSE: To provide an in-depth understanding of the lived experience and quality of life (QoL) of individuals with SSI. METHODS: A systematic search for published studies that explored the impact of SSI on QoL among adult patients (older than 18 years) who had undergone any type of surgery was performed in June 2020. The search included but was not limited to MEDLINE, the Cumulative Index to Nursing and Allied Health Literature, and the Cochrane databases using the terms “surgical site infection” OR “hospital-acquired infection” OR “nosocomial infection” OR “wound site infection” OR “surgical wound site infection” AND “Quality of Life” OR “Life quality” OR “Health-Related Quality of Life” OR “Life Style” OR “QOL” OR “HRQoL” OR “Short-form questionnaire 36” OR “Questionnaire SF-36” OR “SF-36.” All quantitative and qualitative study designs were included; no language or date of publication restrictions were imposed. The Critical Appraisal Skills Program Qualitative Checklist was used to assess the methodological quality of the included studies. Study author, date, setting, sample size, population, and design and type of surgery as well as QoL instrument scores were extracted. A narrative thematic synthesis, which comprised the physical, psychological, social, economic, and spiritual effects as well as the health care worker–patient relationship, was undertaken for qualitative studies. Outcome measures were collected and assessed using a range of established health QoL instruments and reported in terms of QoL for quantitative studies. In addition, the type of QoL instrument employed within the studies was elucidated for comparing the scores of the instruments. RESULTS: A total of 696 publications were found; 690 were eliminated, leaving 4 quantitative and 2 qualitative studies conducted between 2002 and 2018 that met the inclusion criteria. The total number of participants in the assessed studies was 785. The mean sample size for the included studies was 131 participants (SD = 192.5; median, 95). Thematic synthesis showed 6 overarching themes: physical, psychological, social, spiritual, and economic effects of SSI as well as the health care worker–patient relationship. Short Form-36 was used to assess QoL in 3 of the 4 quantitative studies; these studies showed that there were decrements in scores of Short Form-36. CONCLUSION: Although this systematic review included heterogeneous groups of patients who underwent different surgical procedures and completed different QoL assessment tools, patients with SSI experienced low QoL, with limitations in physical, social, and psychological functioning. The health care worker–patient relationship was predominantly perceived negatively. Further prospective research is warranted.

Impact of Health-Care Worker Attitudes toward Organ Donation

2016 ◽  
Vol 82 (9) ◽  
pp. 242-244 ◽  
Author(s):  
John D. Cull ◽  
Tara L. Spivey ◽  
Vidyaratna A. Fleetwood ◽  
Benjamin M. Manning ◽  
Edie Y. Chan
Keyword(s):  
Health Care ◽  
Organ Donation ◽  
Health Care Worker ◽  
Worker Attitudes ◽  
Care Worker

scholarly journals ПРОБЛЕМИ НОРМАТИВНО-ПРАВОВИХ АКТІВ ЩОДО ЗАХИСТУ ПРАВ ЛІКАРІВ І ПАЦІЄНТІВ

2017 ◽  
Author(s):  
N. V. Myronenko
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Peer Review ◽  
Legal Status ◽  
Review Process ◽  
Peer Review Process ◽  
Legal Services ◽  
Patients Rights ◽  
Care Worker

It is marked that the problem of protecting the rights of doctors and patients studied not enough. It is emphasized that today in Ukraine remains an imbalance between the protection doctors' and patients' rights. In the market are quite common legal services to protect rights of patients and almost no protected rights of medical workers. At the same time it is emphasizes that the quality of care can be determined only by ensuring constant peer review process of providing, with this relevant criteria. In conclusion it is suggests that in terms of the goal of legislative regulation and application of the rules of legal technique, seems appropriate amendments to the Law of Ukraine «Bases of the legislation of Ukraine on health care», which would provide a comprehensive solution to the problem of patient and health care worker legal status determination.

scholarly journals Patient satisfaction with chronic HIV care provided through an innovative pharmacist/nurse-managed clinic and a multidisciplinary clinic

2017 ◽  
Vol 150 (6) ◽  
pp. 397-406 ◽  
Author(s):  
Jason Kielly ◽  
Deborah V. Kelly ◽  
Shabnam Asghari ◽  
Kim Burt ◽  
Jessica Biggin
Keyword(s):  
Patient Satisfaction ◽  
Quality Of Care ◽  
Access To Care ◽  
Treatment Plan ◽  
Patient Characteristics ◽  
Hiv Care ◽  
Satisfaction With Care ◽  
Care Clinic ◽  
Multidisciplinary Clinic

Background: Pharmacist/nurse-led clinics are an established model for many chronic diseases but not yet for HIV. At our centre, patients with HIV are seen by a multidisciplinary team (physician, nurse, pharmacist, social worker) at least yearly. Some attend an HIV-specialist pharmacist/nurse clinic (or “nonphysician clinic,” NPC) for alternate biannual visits. Our objective was to assess patient satisfaction with care received through both clinics. Methods: The Patient Satisfaction Survey for HIV Ambulatory Care (assesses satisfaction with access to care, clinic visits and quality of care) was administered by telephone to adults who attended either clinic between January and July 2014. Descriptive statistics described patient characteristics and satisfaction scores. Fisher’s exact test compared satisfaction scores between the NPC and multidisciplinary clinic (MDC). Multivariate logistic regression examined associations between overall satisfaction with care and clinic type and patient characteristics (e.g., age, disease duration). Results: Respondents were very satisfied with the overall quality of HIV care in both the NPC and MDC (89% vs 93%, respectively, p = 0.6). Patients from both clinics expressed satisfaction with access to care, treatment plan input, their provider’s knowledge of the newest developments in HIV care and explanation of medication side effects, with no significant differences noted. Significantly more MDC patients reported being asked about housing/finances, alcohol/drug use and whether they needed help disclosing their status. Patient characteristics were not significantly associated with satisfaction with overall quality of care. Conclusion: Patients are satisfied with both clinics, supporting NPC as an innovative model for chronic HIV care. Comparison of outcomes between clinics is needed to ensure high-quality care.

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