Cargando…

Integration of HIV Care with Primary Health Care Services: Effect on Patient Satisfaction and Stigma in Rural Kenya

HIV departments within Kenyan health facilities are usually better staffed and equipped than departments offering non-HIV services. Integration of HIV services into primary care may address this issue of skewed resource allocation. Between 2008 and 2010, we piloted a system of integrating HIV servic...

Descripción completa

Detalles Bibliográficos
Autores principales: Odeny, Thomas A., Penner, Jeremy, Lewis-Kulzer, Jayne, Leslie, Hannah H., Shade, Starley B., Adero, Walter, Kioko, Jackson, Cohen, Craig R., Bukusi, Elizabeth A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3664481/
https://www.ncbi.nlm.nih.gov/pubmed/23738055
http://dx.doi.org/10.1155/2013/485715
_version_ 1782271109795676160
author Odeny, Thomas A.
Penner, Jeremy
Lewis-Kulzer, Jayne
Leslie, Hannah H.
Shade, Starley B.
Adero, Walter
Kioko, Jackson
Cohen, Craig R.
Bukusi, Elizabeth A.
author_facet Odeny, Thomas A.
Penner, Jeremy
Lewis-Kulzer, Jayne
Leslie, Hannah H.
Shade, Starley B.
Adero, Walter
Kioko, Jackson
Cohen, Craig R.
Bukusi, Elizabeth A.
author_sort Odeny, Thomas A.
collection PubMed
description HIV departments within Kenyan health facilities are usually better staffed and equipped than departments offering non-HIV services. Integration of HIV services into primary care may address this issue of skewed resource allocation. Between 2008 and 2010, we piloted a system of integrating HIV services into primary care in rural Kenya. Before integration, we conducted a survey among returning adults ≥18-year old attending the HIV clinic. We then integrated HIV and primary care services. Three and twelve months after integration, we administered the same questionnaires to a sample of returning adults attending the integrated clinic. Changes in patient responses were assessed using truncated linear regression and logistic regression. At 12 months after integration, respondents were more likely to be satisfied with reception services (adjusted odds ratio, aOR 2.71, 95% CI 1.32–5.56), HIV education (aOR 3.28, 95% CI 1.92–6.83), and wait time (aOR 1.97 95% CI 1.03–3.76). Men's comfort with receiving care at an integrated clinic did not change (aOR = 0.46 95% CI 0.06–3.86). Women were more likely to express discomfort after integration (aOR 3.37 95% CI 1.33–8.52). Integration of HIV services into primary care services was associated with significant increases in patient satisfaction in certain domains, with no negative effect on satisfaction.
format Online
Article
Text
id pubmed-3664481
institution National Center for Biotechnology Information
language English
publishDate 2013
publisher Hindawi Publishing Corporation
record_format MEDLINE/PubMed
spelling pubmed-36644812013-06-04 Integration of HIV Care with Primary Health Care Services: Effect on Patient Satisfaction and Stigma in Rural Kenya Odeny, Thomas A. Penner, Jeremy Lewis-Kulzer, Jayne Leslie, Hannah H. Shade, Starley B. Adero, Walter Kioko, Jackson Cohen, Craig R. Bukusi, Elizabeth A. AIDS Res Treat Research Article HIV departments within Kenyan health facilities are usually better staffed and equipped than departments offering non-HIV services. Integration of HIV services into primary care may address this issue of skewed resource allocation. Between 2008 and 2010, we piloted a system of integrating HIV services into primary care in rural Kenya. Before integration, we conducted a survey among returning adults ≥18-year old attending the HIV clinic. We then integrated HIV and primary care services. Three and twelve months after integration, we administered the same questionnaires to a sample of returning adults attending the integrated clinic. Changes in patient responses were assessed using truncated linear regression and logistic regression. At 12 months after integration, respondents were more likely to be satisfied with reception services (adjusted odds ratio, aOR 2.71, 95% CI 1.32–5.56), HIV education (aOR 3.28, 95% CI 1.92–6.83), and wait time (aOR 1.97 95% CI 1.03–3.76). Men's comfort with receiving care at an integrated clinic did not change (aOR = 0.46 95% CI 0.06–3.86). Women were more likely to express discomfort after integration (aOR 3.37 95% CI 1.33–8.52). Integration of HIV services into primary care services was associated with significant increases in patient satisfaction in certain domains, with no negative effect on satisfaction. Hindawi Publishing Corporation 2013 2013-05-07 /pmc/articles/PMC3664481/ /pubmed/23738055 http://dx.doi.org/10.1155/2013/485715 Text en Copyright © 2013 Thomas A. Odeny et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Odeny, Thomas A.
Penner, Jeremy
Lewis-Kulzer, Jayne
Leslie, Hannah H.
Shade, Starley B.
Adero, Walter
Kioko, Jackson
Cohen, Craig R.
Bukusi, Elizabeth A.
Integration of HIV Care with Primary Health Care Services: Effect on Patient Satisfaction and Stigma in Rural Kenya
title Integration of HIV Care with Primary Health Care Services: Effect on Patient Satisfaction and Stigma in Rural Kenya
title_full Integration of HIV Care with Primary Health Care Services: Effect on Patient Satisfaction and Stigma in Rural Kenya
title_fullStr Integration of HIV Care with Primary Health Care Services: Effect on Patient Satisfaction and Stigma in Rural Kenya
title_full_unstemmed Integration of HIV Care with Primary Health Care Services: Effect on Patient Satisfaction and Stigma in Rural Kenya
title_short Integration of HIV Care with Primary Health Care Services: Effect on Patient Satisfaction and Stigma in Rural Kenya
title_sort integration of hiv care with primary health care services: effect on patient satisfaction and stigma in rural kenya
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3664481/
https://www.ncbi.nlm.nih.gov/pubmed/23738055
http://dx.doi.org/10.1155/2013/485715
work_keys_str_mv AT odenythomasa integrationofhivcarewithprimaryhealthcareserviceseffectonpatientsatisfactionandstigmainruralkenya
AT pennerjeremy integrationofhivcarewithprimaryhealthcareserviceseffectonpatientsatisfactionandstigmainruralkenya
AT lewiskulzerjayne integrationofhivcarewithprimaryhealthcareserviceseffectonpatientsatisfactionandstigmainruralkenya
AT lesliehannahh integrationofhivcarewithprimaryhealthcareserviceseffectonpatientsatisfactionandstigmainruralkenya
AT shadestarleyb integrationofhivcarewithprimaryhealthcareserviceseffectonpatientsatisfactionandstigmainruralkenya
AT aderowalter integrationofhivcarewithprimaryhealthcareserviceseffectonpatientsatisfactionandstigmainruralkenya
AT kiokojackson integrationofhivcarewithprimaryhealthcareserviceseffectonpatientsatisfactionandstigmainruralkenya
AT cohencraigr integrationofhivcarewithprimaryhealthcareserviceseffectonpatientsatisfactionandstigmainruralkenya
AT bukusielizabetha integrationofhivcarewithprimaryhealthcareserviceseffectonpatientsatisfactionandstigmainruralkenya