Publication type: | Article in scientific journal |
Type of review: | Peer review (publication) |
Title: | Quality of generalist vs. speciality care for people with HIV on antiretroviral treatment : a prospective cohort study |
Authors: | Page, Julie Weber, Rainer Somaini, Bertino Nöstlinger, Christiane Donath, Klaus Jaccard, René |
DOI: | 10.1046/j.1468-1293.2003.00157.x |
Published in: | HIV Medicine |
Volume(Issue): | 4 |
Issue: | 3 |
Page(s): | 276 |
Pages to: | 286 |
Issue Date: | 15-Jul-2003 |
Publisher / Ed. Institution: | Wiley |
ISSN: | 1464-2662 1468-1293 |
Language: | English |
Subjects: | Patientenzufriedenheit; HIV/AIDS; Lebensqualität; Betreuungsqualität |
Subject (DDC): | 362: Health and social services 616: Internal medicine and diseases |
Abstract: | Objectives: To describe health‐care use by persons with HIV in an urban area of Switzerland (Zurich). Further, to compare the different health‐care settings. Design: A 1‐year prospective cohort study recruiting 60 patients at general practices and 60 patients at a specialized university outpatient clinic. Methods: Patients and their treating physicians were interviewed or answered questionnaires, respectively, at baseline, month 6 and 12. Results: During the study period, five patient groups were identified among the 106 enrolled patients, of whom (i) 42% saw a general practitioner exclusively, (ii) 31% were treated at the specialized outpatient clinic, (iii) 8% were in shared care, (iv) 10% changed health‐care model, and (v) 9% were lost to follow‐up. Baseline demographic, psychosocial and clinical data were similar among patient groups. At study end, the proportion of patients with HIV‐1 RNA < 400 copies/mL was 72%, 74%, 88%, 55% among groups (i) to (iv), respectively (ns), and 22% at month 6 among those lost to follow‐up. Indicators for quality of care were similarly good among all patient groups. Conclusions: A well‐working system offers high‐quality healthcare to persons living with HIV, where existing teams of speciality and primary health‐care professionals efficiently and effectively co‐operate. |
URI: | https://digitalcollection.zhaw.ch/handle/11475/4606 |
Fulltext version: | Published version |
License (according to publishing contract): | Licence according to publishing contract |
Departement: | School of Health Sciences |
Organisational Unit: | Institute of Occupational Therapy (IER) |
Appears in collections: | Publikationen Gesundheit |
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Page, J., Weber, R., Somaini, B., Nöstlinger, C., Donath, K., & Jaccard, R. (2003). Quality of generalist vs. speciality care for people with HIV on antiretroviral treatment : a prospective cohort study. HIV Medicine, 4(3), 276–286. https://doi.org/10.1046/j.1468-1293.2003.00157.x
Page, J. et al. (2003) ‘Quality of generalist vs. speciality care for people with HIV on antiretroviral treatment : a prospective cohort study’, HIV Medicine, 4(3), pp. 276–286. Available at: https://doi.org/10.1046/j.1468-1293.2003.00157.x.
J. Page, R. Weber, B. Somaini, C. Nöstlinger, K. Donath, and R. Jaccard, “Quality of generalist vs. speciality care for people with HIV on antiretroviral treatment : a prospective cohort study,” HIV Medicine, vol. 4, no. 3, pp. 276–286, Jul. 2003, doi: 10.1046/j.1468-1293.2003.00157.x.
PAGE, Julie, Rainer WEBER, Bertino SOMAINI, Christiane NÖSTLINGER, Klaus DONATH und René JACCARD, 2003. Quality of generalist vs. speciality care for people with HIV on antiretroviral treatment : a prospective cohort study. HIV Medicine. 15 Juli 2003. Bd. 4, Nr. 3, S. 276–286. DOI 10.1046/j.1468-1293.2003.00157.x
Page, Julie, Rainer Weber, Bertino Somaini, Christiane Nöstlinger, Klaus Donath, and René Jaccard. 2003. “Quality of Generalist vs. Speciality Care for People with HIV on Antiretroviral Treatment : A Prospective Cohort Study.” HIV Medicine 4 (3): 276–86. https://doi.org/10.1046/j.1468-1293.2003.00157.x.
Page, Julie, et al. “Quality of Generalist vs. Speciality Care for People with HIV on Antiretroviral Treatment : A Prospective Cohort Study.” HIV Medicine, vol. 4, no. 3, July 2003, pp. 276–86, https://doi.org/10.1046/j.1468-1293.2003.00157.x.
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