Evaluating Integrated Care for People Living With HIV and Multidrug-Resistant Tuberculosis in South Africa: A Case-Based Approach Using the Chronic Care Model
| Autor: | Jason E. Farley, Alanna Bergman, Keri Geiger |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male Advanced and Specialized Nursing Chronic care medicine.medical_specialty Case based approach Tuberculosis Delivery of Health Care Integrated business.industry Human immunodeficiency virus (HIV) MEDLINE HIV Infections medicine.disease_cause medicine.disease World health Integrated care South Africa Regimen Tuberculosis Multidrug-Resistant Humans Medicine business Intensive care medicine |
| Zdroj: | Journal of the Association of Nurses in AIDS Care. 32:e91-e102 |
| ISSN: | 1552-6917 1055-3290 |
| DOI: | 10.1097/jnc.0000000000000242 |
| Popis: | In South Africa, tuberculosis (TB) and multidrug-resistant TB (MDR-TB) frequently occur in people living with HIV. World Health Organization guidelines recommend the integration of MDR-TB and HIV care but, in practice, fully integrated care is difficult to achieve. In this article, we use five elements of the Chronic Care Model as a framework for evaluating a case of integrated MDR-TB/HIV care and to highlight opportunities for nurses to improve care delivery and patient outcomes. We apply the Chronic Care Model framework to a concrete example by examining the case of a 33-year-old man who developed MDR-TB treatment failure while concurrently taking a powerful new MDR-TB antiretroviral therapy regimen for his HIV. |
| Databáze: | OpenAIRE |
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