...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Patient Preference and Adherence >Comparison of health system responsiveness between HIV and non-HIV patients at infectious disease clinics in Yunnan, China
【24h】

Comparison of health system responsiveness between HIV and non-HIV patients at infectious disease clinics in Yunnan, China

机译：云南省传染病门诊艾滋病病毒感染者与非艾滋病毒患者卫生系统反应能力的比较

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background: China is in an epidemiologic transition period. Health system responsiveness (HSR) has become an increasing concern in China. With the burden of increasing human immunodeficiency virus (HIV) infection/acquired immune deficiency syndrome, responsiveness of HIV care is urgently needed. We aimed at comparing the experience of HSR between HIV-positive and non-HIV patients. Methods: A cross-sectional study was carried out in Yunnan, China, from January to February 2015 among two consecutive groups of HIV and non-HIV patients in two hospitals with the largest HIV admissions. Patients’ experience and expectation of HSR were measured using a self-reported questionnaire containing items of seven domains and 35 vignettes (five per domain). Each of the items and vignettes was ranked from 1 “very good” to 5 “very bad.” For each domain, B-scales were built based on the difference between experience and the vignettes. Ordered probit and censored ordered probit regression models were constructed to compare HSR experience between the two groups adjusted for socioeconomic status (SES) factors. Results: The majority of HIV patients were at clinical stage 1, were infected via unprotected sexual contact, and had a CD4 count <500 cells/μL. After adjustment by SES factors, HIV patients had better experiences of HSR in six of the seven HSR domains, prompt attention being the only domain that non-HIV patients had better experiences. Conclusion: Perceptions of HSR experience were better among HIV patients except for prompt attention, which could not be explained by SES factors and difference in expectations. A reform is needed not to neglect the needs of non-HIV patients in the study area.
机译：背景：中国正处于流行病学过渡时期。卫生系统响应能力（HSR）在中国已成为日益关注的问题。随着人类免疫缺陷病毒（HIV）感染/获得性免疫缺陷综合症负担的增加，迫切需要对HIV的响应能力。我们旨在比较HIV阳性和非HIV患者的HSR经历。方法：2015年1月至2015年2月，在中国云南省进行了横断面研究，在两家HIV感染率最高的医院中，连续两组HIV和非HIV患者进行了研究。使用一份自我报告的问卷来测量患者的经历和对HSR的期望，该问卷包含7个域和35个小插曲（每个域5个）。每个项目和小插图的等级从1“非常好”到5“非常差”。对于每个领域，B等级都是根据经验和小插曲之间的差异建立的。构建有序概率和审查有序概率回归模型，以比较经过社会经济地位（SES）因素调整的两组之间的高铁经验。结果：大多数HIV患者处于临床1期，通过无保护的性接触感染，且CD 4 计数<500细胞/μL。经过SES因素调整后，HIV患者在七个HSR域中的六个域中具有更好的HSR体验，迅速引起关注是非HIV患者具有更好体验的唯一域。结论：HIV病人对HSR经验的感觉更好，但要引起注意，这不能由SES因素和期望差异来解释。需要进行一项改革，以不忽略研究区域中非HIV患者的需求。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号