Effect of 2 Models of Care and Factors Predicting Patients’ Adherence to Doctor’s Appointment Attendance in Lagos State University Teaching Hospital, Ikeja, Lagos, Nigeria
| Autor: | M. P. Zachariah, R.I Aderemi-Williams, Aba O Sagoe, Fola Tayo |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Anti-HIV Agents Immunology Nigeria HIV Infections Dermatology lcsh:RC870-923 Logistic regression Young Adult 03 medical and health sciences 0302 clinical medicine Acquired immunodeficiency syndrome (AIDS) Antiretroviral Therapy Highly Active Intervention (counseling) Ambulatory Care medicine Humans 030212 general & internal medicine Hospitals Teaching 030505 public health business.industry Attendance Middle Aged lcsh:Diseases of the genitourinary system. Urology medicine.disease Antiretroviral therapy Treatment Adherence and Compliance Logistic Models Infectious Diseases Emergency medicine Female Observational study University teaching 0305 other medical science business Limited resources |
| Zdroj: | Journal of the International Association of Providers of AIDS Care, Vol 16 (2017) |
| ISSN: | 2325-9582 |
| Popis: | Background: Provision of antiretroviral therapy in resource limited settings has put pressure on the available infrastructure. Objectives: The study examined patients’ adherence to Doctor’s appointment attendance after an intervention changing the model of care and factors that predicted adherence. Methods: Observational study was carried out over four years. The model of care was changed in the last year and the effect assessed. SPSS version 15.0 was used for analysis. Predictors of adherence were determined using logistic regression model. Results: Over half 148 (59.7%) of the patients were females, with a mean age of 40.4±8.8 years and baseline CD4 cells of 143.5±92.7cells/microliters. “Adherence” rates were 51.3% in 2007, 35.9% in 2008 and 14.9% in 2009 giving patients’ average adherence to Doctor’s appointment attendance of 34.03%. Intervention changing the model of care in 2010 recorded an adherence rate of 93.1%. Conclusions: The change in model of care greatly improved patients’ “adherence”. Patients’ knowledge of management, adherence, and smoking and drinking habits were identified as statistically significant predictors of adherence. |
| Databáze: | OpenAIRE |
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