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首页> 外文期刊>AIDS care. >Comparison of satisfaction with care between two different models of HIV care delivery in St. Petersburg, Russia
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Comparison of satisfaction with care between two different models of HIV care delivery in St. Petersburg, Russia

机译：俄罗斯圣彼得堡两种不同的HIV护理模式对护理满意度的比较

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Prior to 2010, medical care for people living with HIV/AIDS was provided at an outpatient facility near the center of St. Petersburg. Since then, HIV specialty clinics have been established in more outlying regions of the city. The study examined the effect of this decentralization of HIV care on patients' satisfaction with care in clinics of St. Petersburg, Russia. We conducted a cross-sectional study with 418 HIV-positive patients receiving care at the St. Petersburg AIDS Center or at District Infectious Disease Departments (centralized and decentralized models, respectively). Face-to-face interviews included questions about psychosocial characteristics, patient's satisfaction with care, and clinic-related patient experience. Abstraction of medical records provided information on patients' viral load. To compare centralized and decentralized models of care delivery, we performed bivariate and multivariate analysis. Clients of District Infectious Disease Departments spent less time in lines and traveling to reach the clinic, and they had stronger relationships with their doctor. The overall satisfaction with care was high, with 86% of the sample reporting high level of satisfaction. Nevertheless, satisfaction with care was strongly and positively associated with the decentralized model of care and Patient-Doctor Relationship Score. Patient experience elements such as waiting time, travel time, and number of services used were not significant factors related to satisfaction. Given the positive association of satisfaction with decentralized service delivery, it is worth exploring decentralization as one way of improving healthcare services for people living with HIV/AIDS.
机译：在2010年之前，圣彼得堡市中心附近的门诊设施为艾滋病毒/艾滋病感染者提供了医疗服务。从那时起，在城市更偏远的地区建立了艾滋病专科诊所。该研究在俄罗斯圣彼得堡的诊所中检查了艾滋病分权化对患者对护理满意度的影响。我们对418名HIV阳性患者在圣彼得堡AIDS中心或地区传染病部门（分别为集中模型和分散模型）进行了横断面研究。面对面访谈包括有关心理社会特征，患者对护理的满意度以及与诊所相关的患者体验的问题。医疗记录的提取提供了有关患者病毒载量的信息。为了比较集中式和分散式的护理提供模型，我们进行了双变量和多变量分析。地区传染病部门的客户花在排队和前往诊所的时间更少，并且与医生之间的关系更加牢固。对护理的总体满意度很高，有86％的样本报告了较高的满意度。然而，对护理的满意程度与去中心化的护理模型和医患关系评分密切相关。患者的体验要素（例如等待时间，旅行时间和所用服务的数量）不是与满意度相关的重要因素。鉴于对权力下放服务的满意度有着积极的联系，因此值得探索权力下放作为改善艾滋病毒/艾滋病患者医疗服务的一种方式。

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