BMJ Qual Saf
| Autor: | Mariam Mama Djima, Viet-Thi Tran, Philippe Ravaud, Eugène Messou, Didier K. Ekouevi |
|---|---|
| Přispěvatelé: | Bordeaux population health (BPH), Université de Bordeaux (UB)-Institut de Santé Publique, d'Épidémiologie et de Développement (ISPED)-Institut National de la Santé et de la Recherche Médicale (INSERM) |
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Sub saharan Patient Empowerment Human immunodeficiency virus (HIV) HIV Infections medicine.disease_cause IDLIC 03 medical and health sciences 0302 clinical medicine Cost of Illness Medicine Humans 030212 general & internal medicine Patient Reported Outcome Measures PACCI Policy Making Qualitative Research Personal care Health professionals business.industry 030503 health policy & services Health Policy Qualitative interviews Patient Preference Middle Aged 3. Good health Cote d'Ivoire Cross-Sectional Studies Family medicine Quality of Life [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie Female Thematic analysis 0305 other medical science business Needs Assessment Qualitative research |
| Zdroj: | BMJ Quality & Safety BMJ Quality & Safety, BMJ Publishing Group 2019, 28 (4), pp.266-275. ⟨10.1136/bmjqs-2017-007564⟩ |
| ISSN: | 2044-5423 2044-5415 |
| DOI: | 10.1136/bmjqs-2017-007564⟩ |
| Popis: | ObjectivePatients living with HIV infection (PLWH) in sub-Saharan Africa face an important burden of treatment related to everything they do to take care of their health: doctor visits, tests, regular refills, travels, and so on. In this study, we involved PLWH in proposing ideas on how to decrease their burden of treatment and assessed to what extent these propositions could be implemented in care.MethodsAdult PLWH recruited in three HIV care centres in Côte d’Ivoire participated in qualitative interviews starting with ‘What do you believe are the most important things to change in your care to improve your burden of treatment?’ Two independent investigators conducted a thematic analysis to identify and classify patients' propositions to decrease their burden of treatment. A group of experts involving patients, health professionals, hospital leaders and policymakers evaluated each patient proposition to assess its feasibility.ResultsBetween February and April 2017, 326 participants shared 748 ideas to decrease their burden of treatment. These ideas were grouped into 59 unique patient propositions to improve their personal care and the organisation of their hospital or clinic and/or the health system. Experts considered that 27 (46%), 19 (32%) and 13 (22%) of patients' propositions were easy, moderate and difficult, respectively, to implement. A total of 118 (36%) participants offered at least one proposition considered easily implementable by our experts.ConclusionAsking PLWH in sub-Saharan Africa about how their care could be improved led to identifying meaningful propositions. According to experts, half of the ideas identified could be implemented easily at low cost for minimally disruptive HIV care. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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