Patient Perspectives of Quality of the Same-Day Antiretroviral Therapy Initiation Process in Gauteng Province, South Africa: Qualitative Dominant Mixed-Methods Analysis of the SLATE II Trial
| العنوان: | Patient Perspectives of Quality of the Same-Day Antiretroviral Therapy Initiation Process in Gauteng Province, South Africa: Qualitative Dominant Mixed-Methods Analysis of the SLATE II Trial |
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| المؤلفون: | Nancy A. Scott, Sydney Rosen, Peter Ehrenkranz, Mhairi Maskew, Lungisile Vezi, Matthew P. Fox, Alana T. Brennan, Rachel M Fong, Ingrid E Olson |
| المصدر: | The Patient |
| بيانات النشر: | Springer Science and Business Media LLC, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Counseling, medicine.medical_specialty, Anti-HIV Agents, media_common.quotation_subject, MEDLINE, Eligibility Determination, HIV Infections, Health administration, South Africa, 03 medical and health sciences, 0302 clinical medicine, Intervention (counseling), Patient experience, medicine, Humans, Quality (business), Original Research Article, 030212 general & internal medicine, media_common, 030505 public health, Health economics, business.industry, Public health, Antiretroviral therapy, Family medicine, 0305 other medical science, business, Algorithms |
| الوصف: | Background HIV patients in South Africa continue to report operational barriers to starting antiretroviral therapy (ART). In the Simplified Algorithm for Treatment Eligibility (SLATE) II trial, same-day initiation (SDI) of ART increased the number of patients commencing ART and achieving HIV viral suppression by using a screening tool to distinguish between patients eligible for SDI and those requiring additional care before starting treatment. We conducted a mixed-methods evaluation to explore trial patients’ perceptions and experiences of SDI. Methods SLATE II was implemented at three urban, public primary health care clinics in Gauteng Province, South Africa. We conducted a short quantitative survey and in-depth interviews among a purposive sample of 89 of the 593 trial participants in the intervention and standard arms, using a mixed inductive–deductive framework approach. Results Nearly all respondents (95%) were satisfied with their care, despite reporting clinic wait times of ≥ 3 h (72%). Intervention patients found the initiation process to be easy; standard patients found it complicated and were frustrated with being shuffled around the clinic. No intervention arm patients felt that SDI was “too fast” or indicated a preference for a more gradual process. Both groups highlighted the need for good counselling and non-judgmental, respectful staff. Standard patients suggested improving patient–provider relations, strengthening counselling, reducing wait times, and minimising referrals. Conclusions While it is difficult to untangle the role of providers from that of the SLATE algorithm in influencing patient experiences, adoption of SLATE II implementation procedures could improve patient experience of treatment initiation. Trial registration Clinicaltrials.gov NCT03315013, registered October 19, 2017. |
| تدمد: | 1178-1661 1178-1653 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::c282b1c5a49c139975b30f76c90fd3b7 https://doi.org/10.1007/s40271-020-00437-4 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....c282b1c5a49c139975b30f76c90fd3b7 |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 11781661 11781653 |
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