FROM MEDICAL RATIONING TO RATIONALIZING THE USE OF HUMAN RESOURCES FOR AIDS CARE AND TREATMENT IN AFRICA: A CASE FOR TASK SHIFTING
Identifieur interne : 005227 ( Istex/Corpus ); précédent : 005226; suivant : 005228FROM MEDICAL RATIONING TO RATIONALIZING THE USE OF HUMAN RESOURCES FOR AIDS CARE AND TREATMENT IN AFRICA: A CASE FOR TASK SHIFTING
Auteurs : Jessica Price ; Agnes BinagwahoSource :
- Developing World Bioethics [ 1471-8731 ] ; 2010-08.
English descriptors
- KwdEn :
- Agnes binagwaho, Aids care, Aids treatment, Antiretroviral, Antiretroviral therapy, Antiretroviral treatment, Blackwell publishing, Clinician, Death rates, Eligible patients, Family health, Global commitment, Health care, Health systems, Healthcare, Healthcare rationing, Human resources, Human rights, Implicit forms, Implicit rationing, Jessica price, Lusikisiki model, Medical rationing, Ministerial instructions, Mullan frehywot, National treatment guidelines, Patient care, Physician time, Policy action, Prescription policies, Primary care sites, Primary health care, Primary health centres, Principal obstacle, Rationing, Rationing logic, Referral procedures, Resour health, Rural communities, Rwanda, Rwanda ministry, Simulation model, Treatment policies, Unwarranted exclusions, Unwarranted healthcare rationing, Viral load, Wealthy countries, World health organization.
- Teeft :
- Agnes binagwaho, Aids care, Aids treatment, Antiretroviral, Antiretroviral therapy, Antiretroviral treatment, Blackwell publishing, Clinician, Death rates, Eligible patients, Family health, Global commitment, Health care, Health systems, Healthcare, Healthcare rationing, Human resources, Human rights, Implicit forms, Implicit rationing, Jessica price, Lusikisiki model, Medical rationing, Ministerial instructions, Mullan frehywot, National treatment guidelines, Patient care, Physician time, Policy action, Prescription policies, Primary care sites, Primary health care, Primary health centres, Principal obstacle, Rationing, Rationing logic, Referral procedures, Resour health, Rural communities, Rwanda, Rwanda ministry, Simulation model, Treatment policies, Unwarranted exclusions, Unwarranted healthcare rationing, Viral load, Wealthy countries, World health organization.
Abstract
With a global commitment to scaling up AIDS care and treatment in resource‐poor settings for some of the most HIV‐affected countries in Africa, availability of antiretroviral treatment is no longer the principal obstacle to expanding access to treatment. A shortage of trained healthcare personnel to initiate treatment and manage patients represents a more challenging barrier to offering life‐saving treatment to all patients in need. Physician‐centered treatment policies accentuate this challenge. Despite evidence that task shifting for nurse‐centered AIDS patient care is effective and can alleviate severe physician shortages that currently obstruct treatment scale‐up, political commitment and policy action to support task shifting models of care has been slow to absent. In this paper we review the evidence in support of task shifting for AIDS treatment in Africa and argue that continued policy inaction amounts to unwarranted healthcare rationing and as such is ethically untenable.
Url:
DOI: 10.1111/j.1471-8847.2010.00281.x
Links to Exploration step
ISTEX:FD1040D786D5A0196D457023D16BCDC1B6DEE13BLe document en format XML
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Email: jprice@fhi.org</affiliation></author><author xml:id="author-0001"><persName><forename type="first">AGNES</forename><surname>BINAGWAHO</surname></persName><affiliation>Rwanda Ministry of Health (MOH)<address><country key="RW"></country></address></affiliation></author><idno type="istex">FD1040D786D5A0196D457023D16BCDC1B6DEE13B</idno><idno type="ark">ark:/67375/WNG-BVJ42KSL-2</idno><idno type="DOI">10.1111/j.1471-8847.2010.00281.x</idno><idno type="unit">DEWB281</idno><idno type="toTypesetVersion">file:DEWB.DEWB281.pdf</idno></analytic><monogr><title level="j" type="main">Developing World Bioethics</title><title level="j" type="alt">DEVELOPING WORLD BIOETHICS</title><idno type="pISSN">1471-8731</idno><idno type="eISSN">1471-8847</idno><idno type="book-DOI">10.1111/(ISSN)1471-8847</idno><idno type="book-part-DOI">10.1111/dewb.2010.10.issue-2</idno><idno type="product">DEWB</idno><idno type="publisherDivision">ST</idno><imprint><biblScope unit="vol">10</biblScope><biblScope unit="issue">2</biblScope><biblScope unit="page" from="99">99</biblScope><biblScope unit="page" to="103">103</biblScope><biblScope unit="page-count">5</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2010-08"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><head>ABSTRACT</head><p>With a global commitment to scaling up AIDS care and treatment in resource‐poor settings for some of the most HIV‐affected countries in Africa, availability of antiretroviral treatment is no longer the principal obstacle to expanding access to treatment. A shortage of trained healthcare personnel to initiate treatment and manage patients represents a more challenging barrier to offering life‐saving treatment to all patients in need. Physician‐centered treatment policies accentuate this challenge. Despite evidence that task shifting for nurse‐centered AIDS patient care is effective and can alleviate severe physician shortages that currently obstruct treatment scale‐up, political commitment and policy action to support task shifting models of care has been slow to absent. In this paper we review the evidence in support of task shifting for AIDS treatment in Africa and argue that continued policy inaction amounts to unwarranted healthcare rationing and as such is ethically untenable.</p></abstract><textClass><keywords xml:lang="en"><term xml:id="k1">medical rationing</term><term xml:id="k2">AIDS care in Africa</term><term xml:id="k3">task shifting</term></keywords><keywords rend="tocHeading1"><term>ARTICLES</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/FD1040D786D5A0196D457023D16BCDC1B6DEE13B/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Ltd</publisherName><publisherLoc>Oxford, UK</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1471-8847</doi><issn type="print">1471-8731</issn><issn type="electronic">1471-8847</issn><idGroup><id type="product" value="DEWB"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="DEVELOPING WORLD BIOETHICS">Developing World Bioethics</title></titleGroup></publicationMeta><publicationMeta level="part" position="08002"><doi origin="wiley">10.1111/dewb.2010.10.issue-2</doi><numberingGroup><numbering type="journalVolume" number="10">10</numbering><numbering type="journalIssue" number="2">2</numbering></numberingGroup><coverDate startDate="2010-08">August 2010</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="6" status="forIssue"><doi origin="wiley">10.1111/j.1471-8847.2010.00281.x</doi><idGroup><id type="unit" value="DEWB281"></id></idGroup><countGroup><count type="pageTotal" number="5"></count></countGroup><titleGroup><title type="tocHeading1">ARTICLES</title></titleGroup><copyright>© 2010 Blackwell Publishing Ltd.</copyright><eventGroup><event type="firstOnline" date="2010-04-26"></event><event type="publishedOnlineFinalForm" date="2010-07-08"></event><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.3.15 mode:FullText source:FullText result:FullText" date="2010-07-21"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-01-17"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-16"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="99">99</numbering><numbering type="pageLast" number="103">103</numbering></numberingGroup><correspondenceTo>Jessica Price, Family Health International, BP 3149 Kigali, Rwanda. Email: <email>jprice@fhi.org</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:DEWB.DEWB281.pdf"></link></linkGroup></publicationMeta><contentMeta><countGroup><count type="figureTotal" number="0"></count><count type="tableTotal" number="0"></count><count type="formulaTotal" number="0"></count><count type="referenceTotal" number="0"></count><count type="wordTotal" number="3462"></count><count type="linksPubMed" number="0"></count><count type="linksCrossRef" number="0"></count></countGroup><titleGroup><title type="main">FROM MEDICAL RATIONING TO RATIONALIZING THE USE OF HUMAN RESOURCES FOR AIDS CARE AND TREATMENT IN AFRICA: A CASE FOR TASK SHIFTING</title><title type="shortAuthors">Jessica Price and Agnes Binagwaho</title><title type="short">Task Shifting for AIDS Treatment in Africa</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1" corresponding="yes"><personName><givenNames>JESSICA</givenNames><familyName>PRICE</familyName></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a2"><personName><givenNames>AGNES</givenNames><familyName>BINAGWAHO</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="a1" countryCode="RW"><unparsedAffiliation>Family Health International in Rwanda</unparsedAffiliation></affiliation><affiliation xml:id="a2" countryCode="RW"><unparsedAffiliation>Rwanda Ministry of Health (MOH)</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">medical rationing</keyword><keyword xml:id="k2">AIDS care in Africa</keyword><keyword xml:id="k3">task shifting</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><title type="main">ABSTRACT</title><p>With a global commitment to scaling up AIDS care and treatment in resource‐poor settings for some of the most HIV‐affected countries in Africa, availability of antiretroviral treatment is no longer the principal obstacle to expanding access to treatment. A shortage of trained healthcare personnel to initiate treatment and manage patients represents a more challenging barrier to offering life‐saving treatment to all patients in need. Physician‐centered treatment policies accentuate this challenge. Despite evidence that task shifting for nurse‐centered AIDS patient care is effective and can alleviate severe physician shortages that currently obstruct treatment scale‐up, political commitment and policy action to support task shifting models of care has been slow to absent. In this paper we review the evidence in support of task shifting for AIDS treatment in Africa and argue that continued policy inaction amounts to unwarranted healthcare rationing and as such is ethically untenable.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>FROM MEDICAL RATIONING TO RATIONALIZING THE USE OF HUMAN RESOURCES FOR AIDS CARE AND TREATMENT IN AFRICA: A CASE FOR TASK SHIFTING</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Task Shifting for AIDS Treatment in Africa</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>FROM MEDICAL RATIONING TO RATIONALIZING THE USE OF HUMAN RESOURCES FOR AIDS CARE AND TREATMENT IN AFRICA: A CASE FOR TASK SHIFTING</title></titleInfo><name type="personal"><namePart type="given">JESSICA</namePart><namePart type="family">PRICE</namePart><affiliation>Family Health International in Rwanda</affiliation><affiliation>E-mail: jprice@fhi.org</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">AGNES</namePart><namePart type="family">BINAGWAHO</namePart><affiliation>Rwanda Ministry of Health (MOH)</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><place><placeTerm type="text">Oxford, UK</placeTerm></place><dateIssued encoding="w3cdtf">2010-08</dateIssued><copyrightDate encoding="w3cdtf">2010</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="figures">0</extent><extent unit="tables">0</extent><extent unit="formulas">0</extent><extent unit="references">0</extent><extent unit="linksCrossRef">0</extent><extent unit="words">3462</extent></physicalDescription><abstract lang="en">With a global commitment to scaling up AIDS care and treatment in resource‐poor settings for some of the most HIV‐affected countries in Africa, availability of antiretroviral treatment is no longer the principal obstacle to expanding access to treatment. A shortage of trained healthcare personnel to initiate treatment and manage patients represents a more challenging barrier to offering life‐saving treatment to all patients in need. Physician‐centered treatment policies accentuate this challenge. Despite evidence that task shifting for nurse‐centered AIDS patient care is effective and can alleviate severe physician shortages that currently obstruct treatment scale‐up, political commitment and policy action to support task shifting models of care has been slow to absent. In this paper we review the evidence in support of task shifting for AIDS treatment in Africa and argue that continued policy inaction amounts to unwarranted healthcare rationing and as such is ethically untenable.</abstract><subject lang="en"><genre>keywords</genre><topic>medical rationing</topic><topic>AIDS care in Africa</topic><topic>task shifting</topic></subject><relatedItem type="host"><titleInfo><title>Developing World Bioethics</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><identifier type="ISSN">1471-8731</identifier><identifier type="eISSN">1471-8847</identifier><identifier type="DOI">10.1111/(ISSN)1471-8847</identifier><identifier type="PublisherID">DEWB</identifier><part><date>2010</date><detail type="volume"><caption>vol.</caption><number>10</number></detail><detail type="issue"><caption>no.</caption><number>2</number></detail><extent unit="pages"><start>99</start><end>103</end><total>5</total></extent></part></relatedItem><identifier type="istex">FD1040D786D5A0196D457023D16BCDC1B6DEE13B</identifier><identifier type="ark">ark:/67375/WNG-BVJ42KSL-2</identifier><identifier type="DOI">10.1111/j.1471-8847.2010.00281.x</identifier><identifier type="ArticleID">DEWB281</identifier><accessCondition type="use and reproduction" contentType="copyright">© 2010 Blackwell Publishing Ltd.</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource><recordOrigin>Blackwell Publishing Ltd</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/FD1040D786D5A0196D457023D16BCDC1B6DEE13B/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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