Quality of generalist vs. speciality care for people with HIV on antiretroviral treatment: a prospective cohort study
| Autor: | R Jaccard, Julie Page, Rainer Weber, Bertino Somaini, K Donath, C Nöstlinger |
|---|---|
| Přispěvatelé: | University of Zurich, Page, Julie |
| Rok vydání: | 2003 |
| Předmět: |
Adult
Male medicine.medical_specialty Outpatient Clinics Hospital Human immunodeficiency virus (HIV) 362: Gesundheits- und Sozialdienste HIV Infections 610 Medicine & health medicine.disease_cause 616: Innere Medizin und Krankheiten Acquired immunodeficiency syndrome (AIDS) Health care Urban Health Services medicine Humans 2736 Pharmacology (medical) Outpatient clinic Pharmacology (medical) Prospective Studies Quality of care Prospective cohort study Patientenzufriedenheit Lebensqualität Quality of Health Care Patient Care Team Shared care business.industry Health Policy 10060 Epidemiology Biostatistics and Prevention Institute (EBPI) 2725 Infectious Diseases Middle Aged medicine.disease 2719 Health Policy Infectious Diseases Patient Satisfaction Family medicine Quality of Life HIV/AIDS Patient Compliance Female Betreuungsqualität Health Services Research Family Practice business Psychosocial Switzerland Follow-Up Studies Specialization |
| Zdroj: | HIV Medicine. 4:276-286 |
| ISSN: | 1468-1293 1464-2662 |
| DOI: | 10.1046/j.1468-1293.2003.00157.x |
| Popis: | Objectives To describe health-care use by persons with HIV in an urban area of Switzerland (Zurich). Further, to compare the different health-care settings. Design A 1-year prospective cohort study recruiting 60 patients at general practices and 60 patients at a specialized university outpatient clinic. Methods Patients and their treating physicians were interviewed or answered questionnaires, respectively, at baseline, month 6 and 12. Results During the study period, five patient groups were identified among the 106 enrolled patients, of whom (i) 42% saw a general practitioner exclusively, (ii) 31% were treated at the specialized outpatient clinic, (iii) 8% were in shared care, (iv) 10% changed health-care model, and (v) 9% were lost to follow-up. Baseline demographic, psychosocial and clinical data were similar among patient groups. At study end, the proportion of patients with HIV-1 RNA < 400 copies/mL was 72%, 74%, 88%, 55% among groups (i) to (iv), respectively (ns), and 22% at month 6 among those lost to follow-up. Indicators for quality of care were similarly good among all patient groups. Conclusions A well-working system offers high-quality healthcare to persons living with HIV, where existing teams of speciality and primary health-care professionals efficiently and effectively co-operate. |
| Databáze: | OpenAIRE |
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