SidaSubSaharaV1, Pmc, Corpus, bibRecord, 001D40

Quality of HIV care provided by non-physician clinicians and physicians in Mozambique: a retrospective cohort study

Identifieur interne : 001D40 ( Pmc/Corpus ); précédent : 001D39; suivant : 001D41

Quality of HIV care provided by non-physician clinicians and physicians in Mozambique: a retrospective cohort study

Auteurs : Kenneth H. Sherr ; Mark A. Micek ; Sarah O. Gimbel ; Stephen S. Gloyd ; James P. Hughes ; Grace C. John-Stewart ; Rosa M. Manjate ; James Pfeiffer ; Noel S. Weiss

Source :

AIDS (London, England) [ 0269-9370 ] ; 2010.

RBID : PMC:3372417

Abstract

Objectives

To compare HIV care quality provided by non-physician clinicians (NPC) and physicians.

Design

Retrospective cohort study assessing the relationship between provider cadre and HIV care quality among non-pregnant adult patients initiating antiretroviral therapy (ART) in the national HIV care programme.

Methods

Computerized medical records from patients initiating ART between July 2004 and October 2007 at two HIV public HIV clinics in central Mozambique were used to develop multivariate analyses evaluating differences in process and care continuity measures for patients whose initial provider was a NPC or physician.

Results

A total of 5892 patients was included in the study, including 4093 (69.5%) with NPC and 1799 (30.5%) with physicians as initial providers. Those whose initial provider was a NPC were more likely to have a CD4 cell count 90–210 days [risk ratio (RR) 1.13, 1.04Conclusion

NPC performance was similar to or better than that of physicians for the HIV care quality study measures. Our results highlight the important role of NPC in scaling up ART in Mozambique, and argue for using all relevant clinical resources to meet the large demands for care in countries with high HIV burdens.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3372417

DOI: 10.1097/01.aids.0000366083.75945.07
PubMed: 20023441
PubMed Central: 3372417

Links to Exploration step

PMC:3372417

Le document en format XML

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<author><name sortKey="Sherr, Kenneth H" sort="Sherr, Kenneth H" uniqKey="Sherr K" first="Kenneth H." last="Sherr">Kenneth H. Sherr</name>
<affiliation><nlm:aff id="A1">Department of Global Health, University of Washington, Seattle, Washington, USA</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A5">Health Alliance International, Seattle, Washington, USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Micek, Mark A" sort="Micek, Mark A" uniqKey="Micek M" first="Mark A." last="Micek">Mark A. Micek</name>
<affiliation><nlm:aff id="A1">Department of Global Health, University of Washington, Seattle, Washington, USA</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A5">Health Alliance International, Seattle, Washington, USA</nlm:aff>
</affiliation>
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<author><name sortKey="Gimbel, Sarah O" sort="Gimbel, Sarah O" uniqKey="Gimbel S" first="Sarah O." last="Gimbel">Sarah O. Gimbel</name>
<affiliation><nlm:aff id="A1">Department of Global Health, University of Washington, Seattle, Washington, USA</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A5">Health Alliance International, Seattle, Washington, USA</nlm:aff>
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<author><name sortKey="Gloyd, Stephen S" sort="Gloyd, Stephen S" uniqKey="Gloyd S" first="Stephen S." last="Gloyd">Stephen S. Gloyd</name>
<affiliation><nlm:aff id="A1">Department of Global Health, University of Washington, Seattle, Washington, USA</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A5">Health Alliance International, Seattle, Washington, USA</nlm:aff>
</affiliation>
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<author><name sortKey="Hughes, James P" sort="Hughes, James P" uniqKey="Hughes J" first="James P." last="Hughes">James P. Hughes</name>
<affiliation><nlm:aff id="A2">Department of Biostatistics, University of Washington, Seattle, Washington, USA</nlm:aff>
</affiliation>
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<author><name sortKey="John Stewart, Grace C" sort="John Stewart, Grace C" uniqKey="John Stewart G" first="Grace C." last="John-Stewart">Grace C. John-Stewart</name>
<affiliation><nlm:aff id="A3">Department of Medicine, Global Health and Epidemiology, University of Washington, Seattle, Washington, USA</nlm:aff>
</affiliation>
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<author><name sortKey="Manjate, Rosa M" sort="Manjate, Rosa M" uniqKey="Manjate R" first="Rosa M." last="Manjate">Rosa M. Manjate</name>
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<author><name sortKey="Pfeiffer, James" sort="Pfeiffer, James" uniqKey="Pfeiffer J" first="James" last="Pfeiffer">James Pfeiffer</name>
<affiliation><nlm:aff id="A1">Department of Global Health, University of Washington, Seattle, Washington, USA</nlm:aff>
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<affiliation><nlm:aff id="A5">Health Alliance International, Seattle, Washington, USA</nlm:aff>
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<author><name sortKey="Weiss, Noel S" sort="Weiss, Noel S" uniqKey="Weiss N" first="Noel S." last="Weiss">Noel S. Weiss</name>
<affiliation><nlm:aff id="A4">Department of Epidemiology, University of Washington, Seattle, Washington, USA</nlm:aff>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Quality of HIV care provided by non-physician clinicians and physicians in Mozambique: a retrospective cohort study</title>
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<affiliation><nlm:aff id="A5">Health Alliance International, Seattle, Washington, USA</nlm:aff>
</affiliation>
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<author><name sortKey="Micek, Mark A" sort="Micek, Mark A" uniqKey="Micek M" first="Mark A." last="Micek">Mark A. Micek</name>
<affiliation><nlm:aff id="A1">Department of Global Health, University of Washington, Seattle, Washington, USA</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A5">Health Alliance International, Seattle, Washington, USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gimbel, Sarah O" sort="Gimbel, Sarah O" uniqKey="Gimbel S" first="Sarah O." last="Gimbel">Sarah O. Gimbel</name>
<affiliation><nlm:aff id="A1">Department of Global Health, University of Washington, Seattle, Washington, USA</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A5">Health Alliance International, Seattle, Washington, USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gloyd, Stephen S" sort="Gloyd, Stephen S" uniqKey="Gloyd S" first="Stephen S." last="Gloyd">Stephen S. Gloyd</name>
<affiliation><nlm:aff id="A1">Department of Global Health, University of Washington, Seattle, Washington, USA</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A5">Health Alliance International, Seattle, Washington, USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Hughes, James P" sort="Hughes, James P" uniqKey="Hughes J" first="James P." last="Hughes">James P. Hughes</name>
<affiliation><nlm:aff id="A2">Department of Biostatistics, University of Washington, Seattle, Washington, USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="John Stewart, Grace C" sort="John Stewart, Grace C" uniqKey="John Stewart G" first="Grace C." last="John-Stewart">Grace C. John-Stewart</name>
<affiliation><nlm:aff id="A3">Department of Medicine, Global Health and Epidemiology, University of Washington, Seattle, Washington, USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Manjate, Rosa M" sort="Manjate, Rosa M" uniqKey="Manjate R" first="Rosa M." last="Manjate">Rosa M. Manjate</name>
<affiliation><nlm:aff id="A6">Medical Care Department, Mozambique Ministry of Health, Maputo, Mozambique</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pfeiffer, James" sort="Pfeiffer, James" uniqKey="Pfeiffer J" first="James" last="Pfeiffer">James Pfeiffer</name>
<affiliation><nlm:aff id="A1">Department of Global Health, University of Washington, Seattle, Washington, USA</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A5">Health Alliance International, Seattle, Washington, USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Weiss, Noel S" sort="Weiss, Noel S" uniqKey="Weiss N" first="Noel S." last="Weiss">Noel S. Weiss</name>
<affiliation><nlm:aff id="A4">Department of Epidemiology, University of Washington, Seattle, Washington, USA</nlm:aff>
</affiliation>
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<series><title level="j">AIDS (London, England)</title>
<idno type="ISSN">0269-9370</idno>
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<imprint><date when="2010">2010</date>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objectives</title>
<p id="P1">To compare HIV care quality provided by non-physician clinicians (NPC) and physicians.</p>
</sec>
<sec id="S2"><title>Design</title>
<p id="P2">Retrospective cohort study assessing the relationship between provider cadre and HIV care quality among non-pregnant adult patients initiating antiretroviral therapy (ART) in the national HIV care programme.</p>
</sec>
<sec id="S3"><title>Methods</title>
<p id="P3">Computerized medical records from patients initiating ART between July 2004 and October 2007 at two HIV public HIV clinics in central Mozambique were used to develop multivariate analyses evaluating differences in process and care continuity measures for patients whose initial provider was a NPC or physician.</p>
</sec>
<sec id="S4"><title>Results</title>
<p id="P4">A total of 5892 patients was included in the study, including 4093 (69.5%) with NPC and 1799 (30.5%) with physicians as initial providers. Those whose initial provider was a NPC were more likely to have a CD4 cell count 90–210 days [risk ratio (RR) 1.13, 1.04</p>
</sec>
<sec id="S5"><title>Conclusion</title>
<p id="P5">NPC performance was similar to or better than that of physicians for the HIV care quality study measures. Our results highlight the important role of NPC in scaling up ART in Mozambique, and argue for using all relevant clinical resources to meet the large demands for care in countries with high HIV burdens.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
  <pmc-dir>properties manuscript</pmc-dir>
  <front><journal-meta><journal-id journal-id-type="nlm-journal-id">8710219</journal-id>
<journal-id journal-id-type="pubmed-jr-id">1493</journal-id>
<journal-id journal-id-type="nlm-ta">AIDS</journal-id>
<journal-id journal-id-type="iso-abbrev">AIDS</journal-id>
<journal-title-group><journal-title>AIDS (London, England)</journal-title>
</journal-title-group>
<issn pub-type="ppub">0269-9370</issn>
<issn pub-type="epub">1473-5571</issn>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">20023441</article-id>
<article-id pub-id-type="pmc">3372417</article-id>
<article-id pub-id-type="doi">10.1097/01.aids.0000366083.75945.07</article-id>
<article-id pub-id-type="manuscript">NIHMS359022</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Quality of HIV care provided by non-physician clinicians and physicians in Mozambique: a retrospective cohort study</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Sherr</surname>
<given-names>Kenneth H.</given-names>
</name>
<xref ref-type="aff" rid="A1">a</xref>
<xref ref-type="aff" rid="A5">e</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Micek</surname>
<given-names>Mark A.</given-names>
</name>
<xref ref-type="aff" rid="A1">a</xref>
<xref ref-type="aff" rid="A5">e</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gimbel</surname>
<given-names>Sarah O.</given-names>
</name>
<xref ref-type="aff" rid="A1">a</xref>
<xref ref-type="aff" rid="A5">e</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gloyd</surname>
<given-names>Stephen S.</given-names>
</name>
<xref ref-type="aff" rid="A1">a</xref>
<xref ref-type="aff" rid="A5">e</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Hughes</surname>
<given-names>James P.</given-names>
</name>
<xref ref-type="aff" rid="A2">b</xref>
</contrib>
<contrib contrib-type="author"><name><surname>John-Stewart</surname>
<given-names>Grace C.</given-names>
</name>
<xref ref-type="aff" rid="A3">c</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Manjate</surname>
<given-names>Rosa M.</given-names>
</name>
<xref ref-type="aff" rid="A6">f</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pfeiffer</surname>
<given-names>James</given-names>
</name>
<xref ref-type="aff" rid="A1">a</xref>
<xref ref-type="aff" rid="A5">e</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Weiss</surname>
<given-names>Noel S.</given-names>
</name>
<xref ref-type="aff" rid="A4">d</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>a</label>
Department of Global Health, University of Washington, Seattle, Washington, USA</aff>
<aff id="A2"><label>b</label>
Department of Biostatistics, University of Washington, Seattle, Washington, USA</aff>
<aff id="A3"><label>c</label>
Department of Medicine, Global Health and Epidemiology, University of Washington, Seattle, Washington, USA</aff>
<aff id="A4"><label>d</label>
Department of Epidemiology, University of Washington, Seattle, Washington, USA</aff>
<aff id="A5"><label>e</label>
Health Alliance International, Seattle, Washington, USA</aff>
<aff id="A6"><label>f</label>
Medical Care Department, Mozambique Ministry of Health, Maputo, Mozambique</aff>
<author-notes><corresp id="FN1">Correspondence to Kenneth H. Sherr, Department of Global Health, University of Washington, Seattle, Washington, USA. Tel: +1 206 543 8382; <email>ksherr@u.washington.edu</email>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted"><day>23</day>
<month>3</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="ppub"><month>1</month>
<year>2010</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>11</day>
<month>6</month>
<year>2012</year>
</pub-date>
<volume>24</volume>
<issue>Suppl 1</issue>
<fpage>S59</fpage>
<lpage>S66</lpage>
<permissions><copyright-statement>© 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins</copyright-statement>
<copyright-year>2010</copyright-year>
</permissions>
<abstract><sec id="S1"><title>Objectives</title>
<p id="P1">To compare HIV care quality provided by non-physician clinicians (NPC) and physicians.</p>
</sec>
<sec id="S2"><title>Design</title>
<p id="P2">Retrospective cohort study assessing the relationship between provider cadre and HIV care quality among non-pregnant adult patients initiating antiretroviral therapy (ART) in the national HIV care programme.</p>
</sec>
<sec id="S3"><title>Methods</title>
<p id="P3">Computerized medical records from patients initiating ART between July 2004 and October 2007 at two HIV public HIV clinics in central Mozambique were used to develop multivariate analyses evaluating differences in process and care continuity measures for patients whose initial provider was a NPC or physician.</p>
</sec>
<sec id="S4"><title>Results</title>
<p id="P4">A total of 5892 patients was included in the study, including 4093 (69.5%) with NPC and 1799 (30.5%) with physicians as initial providers. Those whose initial provider was a NPC were more likely to have a CD4 cell count 90–210 days [risk ratio (RR) 1.13, 1.04</p>
</sec>
<sec id="S5"><title>Conclusion</title>
<p id="P5">NPC performance was similar to or better than that of physicians for the HIV care quality study measures. Our results highlight the important role of NPC in scaling up ART in Mozambique, and argue for using all relevant clinical resources to meet the large demands for care in countries with high HIV burdens.</p>
</sec>
</abstract>
<kwd-group><kwd>antiretroviral therapy</kwd>
<kwd>Mozambique</kwd>
<kwd>non-physician clinicians</kwd>
<kwd>scale-up</kwd>
<kwd>task shifting</kwd>
</kwd-group>
<funding-group><award-group><funding-source country="United States">National Institute of Allergy and Infectious Diseases Extramural Activities : NIAID</funding-source>
<award-id>P30 AI027757-13 || AI</award-id>
</award-group>
<award-group><funding-source country="United States">National Institute of Allergy and Infectious Diseases Extramural Activities : NIAID</funding-source>
<award-id>P30 AI027757 || AI</award-id>
</award-group>
<award-group><funding-source country="United States">National Institute of Child Health & Human Development : NICHD</funding-source>
<award-id>K24 HD054314-02 || HD</award-id>
</award-group>
</funding-group>
</article-meta>
</front>
</pmc>
</record>

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Quality of HIV care provided by non-physician clinicians and physicians in Mozambique: a retrospective cohort study

Quality of HIV care provided by non-physician clinicians and physicians in Mozambique: a retrospective cohort study

Source :

Abstract

Links to Exploration step

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki