HIV antibody testing in a teaching hospital: policy versus practice.
Identifieur interne : 000791 ( PubMed/Checkpoint ); précédent : 000790; suivant : 000792HIV antibody testing in a teaching hospital: policy versus practice.
Auteurs : Y A Adu-Sarkodie [Ghana]Source :
- East African medical journal [ 0012-835X ] ; 1997.
Descripteurs français
- KwdFr :
- MESH :
- Wicri :
- geographic : Ghana.
English descriptors
- KwdEn :
- MESH :
- chemical , blood : HIV Antibodies.
- geographic : Ghana.
- economics : AIDS Serodiagnosis.
- Female, Guideline Adherence, Health Care Costs, Hospital Departments, Hospitals, Teaching, Humans, Male, Organizational Policy, Patient Selection, Practice Patterns, Physicians'.
Abstract
The cost of HIV antibody testing can be phenomenal. Thus many countries, Ghana included, have adopted policies to guide physicians in making judicious test requests. An analysis of compliance with this policy in a teaching hospital in Ghana, shows that 70% of physician requests meet the stated Ministry of Health guidelines. However, while 84.5% of all test requests which turned positive were within stated guidelines, 48.6% of those turning out negative were not indicated by the policy. The cost of HIV antibody testing could be minimised if clinicians operated within the stated guidelines which make considerations for judicious use of health resources. Compliance with policy also needs evaluating.
PubMed: 9337011
Affiliations:
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Thus many countries, Ghana included, have adopted policies to guide physicians in making judicious test requests. An analysis of compliance with this policy in a teaching hospital in Ghana, shows that 70% of physician requests meet the stated Ministry of Health guidelines. However, while 84.5% of all test requests which turned positive were within stated guidelines, 48.6% of those turning out negative were not indicated by the policy. The cost of HIV antibody testing could be minimised if clinicians operated within the stated guidelines which make considerations for judicious use of health resources. Compliance with policy also needs evaluating.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">9337011</PMID><DateCreated><Year>1997</Year><Month>11</Month><Day>17</Day></DateCreated><DateCompleted><Year>1997</Year><Month>11</Month><Day>17</Day></DateCompleted><DateRevised><Year>2015</Year><Month>11</Month><Day>19</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0012-835X</ISSN><JournalIssue CitedMedium="Print"><Volume>74</Volume><Issue>5</Issue><PubDate><Year>1997</Year><Month>May</Month></PubDate></JournalIssue><Title>East African medical journal</Title><ISOAbbreviation>East Afr Med J</ISOAbbreviation></Journal><ArticleTitle>HIV antibody testing in a teaching hospital: policy versus practice.</ArticleTitle><Pagination><MedlinePgn>315-6</MedlinePgn></Pagination><Abstract><AbstractText>The cost of HIV antibody testing can be phenomenal. Thus many countries, Ghana included, have adopted policies to guide physicians in making judicious test requests. An analysis of compliance with this policy in a teaching hospital in Ghana, shows that 70% of physician requests meet the stated Ministry of Health guidelines. However, while 84.5% of all test requests which turned positive were within stated guidelines, 48.6% of those turning out negative were not indicated by the policy. The cost of HIV antibody testing could be minimised if clinicians operated within the stated guidelines which make considerations for judicious use of health resources. Compliance with policy also needs evaluating.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Adu-Sarkodie</LastName><ForeName>Y A</ForeName><Initials>YA</Initials><AffiliationInfo><Affiliation>Department of Clinical Microbiology Komfo Anokye Teaching Hospital, Kumasi, Ghana.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>Kenya</Country><MedlineTA>East Afr Med J</MedlineTA><NlmUniqueID>0372766</NlmUniqueID><ISSNLinking>0012-835X</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D015483">HIV Antibodies</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><CitationSubset>J</CitationSubset><CitationSubset>X</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D015492" MajorTopicYN="Y">AIDS Serodiagnosis</DescriptorName><QualifierName UI="Q000191" MajorTopicYN="N">economics</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005869" MajorTopicYN="N" Type="Geographic">Ghana</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019983" MajorTopicYN="Y">Guideline Adherence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015483" MajorTopicYN="N">HIV Antibodies</DescriptorName><QualifierName UI="Q000097" MajorTopicYN="Y">blood</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D017048" MajorTopicYN="N">Health Care Costs</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006748" MajorTopicYN="N">Hospital Departments</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006784" MajorTopicYN="Y">Hospitals, Teaching</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016134" MajorTopicYN="N">Organizational Policy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018579" MajorTopicYN="N">Patient Selection</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010818" MajorTopicYN="Y">Practice Patterns, Physicians'</DescriptorName></MeshHeading></MeshHeadingList><OtherID Source="PIP">128881</OtherID><OtherID Source="POP">00269857</OtherID><KeywordList Owner="PIP"><Keyword MajorTopicYN="N">Africa</Keyword><Keyword MajorTopicYN="N">Africa South Of The Sahara</Keyword><Keyword MajorTopicYN="N">Delivery Of Health Care</Keyword><Keyword MajorTopicYN="N">Developing Countries</Keyword><Keyword MajorTopicYN="N">Diseases</Keyword><Keyword MajorTopicYN="N">English Speaking Africa</Keyword><Keyword MajorTopicYN="N">Examinations And Diagnoses</Keyword><Keyword MajorTopicYN="N">Ghana</Keyword><Keyword MajorTopicYN="N">Health</Keyword><Keyword MajorTopicYN="N">Health Personnel</Keyword><Keyword MajorTopicYN="Y">Hiv Infections</Keyword><Keyword MajorTopicYN="Y">Hiv Serodiagnosis</Keyword><Keyword MajorTopicYN="N">Laboratory Examinations And Diagnoses</Keyword><Keyword MajorTopicYN="Y">Physicians</Keyword><Keyword MajorTopicYN="Y">Policy</Keyword><Keyword MajorTopicYN="N">Research Methodology</Keyword><Keyword MajorTopicYN="Y">Research Report</Keyword><Keyword MajorTopicYN="Y">Retrospective Studies</Keyword><Keyword MajorTopicYN="N">Studies</Keyword><Keyword MajorTopicYN="N">Viral Diseases</Keyword><Keyword MajorTopicYN="N">Western Africa</Keyword></KeywordList><GeneralNote Owner="PIP">TJ: EAST AFRICAN MEDICAL JOURNAL.</GeneralNote></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1997</Year><Month>5</Month><Day>1</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1997</Year><Month>10</Month><Day>23</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1997</Year><Month>5</Month><Day>1</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">9337011</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Ghana</li></country></list><tree><country name="Ghana"><noRegion><name sortKey="Adu Sarkodie, Y A" sort="Adu Sarkodie, Y A" uniqKey="Adu Sarkodie Y" first="Y A" last="Adu-Sarkodie">Y A Adu-Sarkodie</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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