对艾滋病毒护理的满意度:尼日利亚里弗斯州社区药房和专科诊所艾滋病毒患者的比较评估

Glory Worgu, D. Ogaji
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引用次数: 0

摘要

背景:权力下放是一项重要的艾滋病毒护理战略,于2016年实施,旨在通过将艾滋病毒护理服务从三级卫生设施转移到艾滋病毒社区药房等外围中心,提高艾滋病毒护理的可用性和可及性。目的:本研究评估并比较了在社区药房和HIV专科诊所接受服务的稳定HIV患者的满意度。患者、材料和方法:采用横断面比较研究设计,涉及尼日利亚里弗斯州174名CP患者和174名专科诊所患者。使用患者满意度调查表测量客户满意度,并将其分为满意和不满意。卡方检验用于分析“强烈同意”和“同意”回答,而曼-惠特尼U检验用于比较设施之间的客户满意度。结果:与SC相比,参加CP的客户在总体满意度(P<0.001)和财务方面(P<0.001,65.5%和72.3%的参与者分别对SC和CP的HIV护理感到满意,支持CP的差距为6.8%(P=0.117)。结论:研究发现,与SC相比,CP对HIV护理服务的总体客户满意度更高。这些发现强调了使用分析设计来确认这一假设的必要性,以进一步向河流州剩余的地方政府地区下放权力。
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Satisfaction with HIV care: Comparative assessment between HIV clients in community pharmacies and specialty clinics in Rivers State Nigeria
Background: Decentralization is a major HIV care strategy that was implemented in 2016 with the aim of improving the availability and accessibility of HIV care by devolving HIV care services from tertiary health facilities to peripheral centres such as HIV community pharmacies (CP). Aim: This study assessed and compared the satisfaction of stable HIV clients receiving services at community pharmacy and specialist HIV clinic. Patients, Materials and Methods: Comparative cross-sectional study design involving 174 clients in CP and 174 clients in specialty clinics (SCs) in Rivers State, Nigeria was used. Clients' satisfaction was measured using patient satisfaction questionnaire and dichotomized into satisfied and not satisfied. Chi-square test was used for the analysis of “strongly agree” and “agree” responses while Mann–Whitney U test was used to compare client's satisfaction between facilities. Results: Clients attending CP showed higher mean ranks compared to SCs in the general satisfaction (P < 0.001) and financial aspect (P < 0.001) domains while the SCs clients demonstrated higher mean in the interpersonal manners (P = 0.012) and time spent with providers (P < 0.001). Overall, 65.5% and 72.3% of participants were satisfied with HIV care in SCs and CP respectively with a gap of 6.8% in favour of CP (P = 0.117). Conclusion: The study found a higher level of overall client satisfaction for HIV care services received at CP compared to the SCs. These findings emphasize the need for confirmation of this hypothesis using analytic design to inform further decentralization to the remaining Local Government Areas in Rivers State.
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发文量
65
审稿时长
20 weeks
期刊介绍: The Nigerian Journal of Medicine publishes articles on socio-economic, political and legal matters related to medical practice; conference and workshop reports and medical news.
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