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Patients' perspectives on how to decrease the burden of treatment: a qualitative study of HIV care in sub-Saharan Africa

dc.rights.licenseopenen_US
dc.contributor.authorTRAN, V. T.
dc.contributor.authorMESSOU, Eugene
dc.contributor.authorMAMA DJIMA, M.
dc.contributor.authorRAVAUD, P.
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorEKOUEVI, Didier Koumavi
dc.date.accessioned2020-07-15T15:02:39Z
dc.date.available2020-07-15T15:02:39Z
dc.date.issued2019-04
dc.identifier.issn2044-5423 (Electronic) 2044-5415 (Linking)en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/10480
dc.description.abstractEnOBJECTIVE: Patients living with HIV infection (PLWH) in sub-Saharan Africa face an important burden of treatment related to everything they do to take care of their health: doctor visits, tests, regular refills, travels, and so on. In this study, we involved PLWH in proposing ideas on how to decrease their burden of treatment and assessed to what extent these propositions could be implemented in care. METHODS: Adult PLWH recruited in three HIV care centres in Cote d'Ivoire participated in qualitative interviews starting with 'What do you believe are the most important things to change in your care to improve your burden of treatment?' Two independent investigators conducted a thematic analysis to identify and classify patients' propositions to decrease their burden of treatment. A group of experts involving patients, health professionals, hospital leaders and policymakers evaluated each patient proposition to assess its feasibility. RESULTS: Between February and April 2017, 326 participants shared 748 ideas to decrease their burden of treatment. These ideas were grouped into 59 unique patient propositions to improve their personal care and the organisation of their hospital or clinic and/or the health system. Experts considered that 27 (46%), 19 (32%) and 13 (22%) of patients' propositions were easy, moderate and difficult, respectively, to implement. A total of 118 (36%) participants offered at least one proposition considered easily implementable by our experts. CONCLUSION: Asking PLWH in sub-Saharan Africa about how their care could be improved led to identifying meaningful propositions. According to experts, half of the ideas identified could be implemented easily at low cost for minimally disruptive HIV care.
dc.language.isoENen_US
dc.subject.enIDLIC
dc.subject.enPACCI
dc.title.enPatients' perspectives on how to decrease the burden of treatment: a qualitative study of HIV care in sub-Saharan Africa
dc.title.alternativeBMJ Qual Safen_US
dc.typeArticle de revueen_US
dc.identifier.doi10.1136/bmjqs-2017-007564en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed29706594en_US
bordeaux.journalBMJ Quality & Safetyen_US
bordeaux.page266-275en_US
bordeaux.volume28en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - U1219en_US
bordeaux.issue4en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
hal.identifierhal-03163417
hal.version1
hal.date.transferred2021-03-09T10:31:45Z
hal.exporttrue
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