西班牙患者和专家对医疗质量和艾滋病毒感染者与健康相关的生活质量的看法:横断面调查。

IF 1.2 4区 医学 Q4 HEALTH POLICY & SERVICES Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2024-11-01 Epub Date: 2024-07-18 DOI:10.1080/09540121.2024.2377983
María J Fuster-RuizdeApodaca, María José Galindo, Concha Amador
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引用次数: 0

摘要

西班牙已接近实现联合国艾滋病规划署设定的 90-90-90 治疗目标。然而,有关 COVID-19 大流行后艾滋病病毒感染者的医疗质量及其健康相关生活质量(HRQoL)的数据却很少。通过考虑艾滋病病毒感染者和艾滋病专家的观点,我们旨在确定西班牙医疗质量的某些方面,如医疗资源的获取或对初级和专科医疗的满意度,并评估艾滋病病毒感染者与健康相关的生活质量。我们对 502 名艾滋病病毒感染者和 101 名艾滋病临床医生进行了事后横断面调查。调查发现,与医疗保健系统和医疗保健资源的获取以及医院药房提供的抗逆转录病毒治疗有关的需求尚未得到满足。在提供初级保健服务以及与艾滋病毒感染者的 HRQoL 有关的各个方面,也有改进的余地。其中约四分之一的人在医疗环境中受到侮辱,这与他们的 HRQoL 有很大关系。女性、异性恋参与者和在使用医疗系统方面存在问题的人在 HRQoL 量表中的得分较低。此外,根据我们的数据,艾滋病专家似乎并不完全了解艾滋病患者的需求,并高估了他们的 HRQoL。
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Patients' and specialists' perspectives on health care quality and on people living with HIV health-related quality of life in Spain: a cross-sectional survey.

Spain was close to meeting the 90-90-90-treatment target set by UNAIDS. However, data on health care quality regarding people with HIV and their health-related quality of life (HRQoL) after the COVID-19 pandemic onset is scarce. By considering the perspective of people with HIV and HIV specialists, we aimed to determine some aspects of the quality of care in Spain, such as access to health resources or satisfaction with primary and speciality care, and assess people with HIV health-related quality of life. Ex post facto cross-sectional surveys were administered to 502 people with HIV and 101 HIV clinicians. Unmet needs related to healthcare system and healthcare resources access and to antiretroviral treatment administered by hospital pharmacies were detected. There was also room for improvement in the primary care service delivery and in various aspects concerning people's with HIV HRQoL. About one-fourth of them experienced stigmatisation in the healthcare setting, which was significantly related to HRQoL. Women, heterosexual participants and those with problems accessing the healthcare system scored poorer in the HRQoL scales. Moreover, according to our data, HIV specialists did not seem to be fully aware of patients' with HIV needs and overestimated their HRQoL.

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CiteScore
3.50
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0.00%
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172
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