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乌干达一家大型艾滋病毒诊所的仅药房配药项目:患者的体验与满意度

A pharmacy-only refill program at a large HIV clinic in Uganda: experience and satisfaction of patients.

作者信息

Nakiwogga-Muwanga Alice, Katabira Elly, Sempa Joseph, Kambugu Andrew, Nakibuuka-Lubwama Esther, Lamorde Mohammed, Mawejje Joseph, Colebunders Robert

机构信息

Infectious Diseases Institute, Makerere University College of Health Sciences, Kampala, Uganda.

出版信息

J Int Assoc Provid AIDS Care. 2014 May-Jun;13(3):264-8. doi: 10.1177/2325957413488179. Epub 2013 Jun 6.

DOI:10.1177/2325957413488179
PMID:23744774
Abstract

BACKGROUND

The purpose of this study was to assess patients' experience and satisfaction with pharmacy-only refill program (PRP) and to compare those who were removed from the PRP with those still in the program.

METHODS

A sample of 446 patients was selected from 1503 patients on antiretroviral therapy that had been enrolled in the PRP for at least 24 months. The study used interviewer-administered questionnaires to assess patients' experience and satisfaction with PRP.

RESULTS

Of the 446 patients, 133 (29.8%) were removed from the PRP. By multivariate analysis, it was found that wanting to see a clinician before their scheduled clinic visit, Christian religion, and not understanding why they were enrolled in PRP were associated with having been removed from the PRP. Patients felt that the greatest benefit from the program was the time that they saved to do other activities. Patients preferred to collect their medication every 3 months instead of every month.

CONCLUSION

All patients interviewed scored the program high, and all recommended that the PRP should continue. Stable patients prefer to see clinicians less frequently and visit clinic less often.

摘要

背景

本研究的目的是评估患者对仅通过药房进行续方计划(PRP)的体验和满意度,并将被从PRP中移除的患者与仍在该计划中的患者进行比较。

方法

从1503名接受抗逆转录病毒治疗且已参加PRP至少24个月的患者中选取了446名患者作为样本。该研究使用由访谈者实施的问卷来评估患者对PRP的体验和满意度。

结果

在446名患者中,133名(29.8%)被从PRP中移除。通过多变量分析发现,在预定门诊就诊前想看临床医生、基督教信仰以及不理解自己为何被纳入PRP与被从PRP中移除有关。患者认为该计划最大的益处是为他们节省了用于做其他活动的时间。患者更倾向于每3个月而不是每月取一次药。

结论

所有接受访谈的患者对该计划评价很高,并且都建议PRP应继续实施。病情稳定的患者更倾向于减少看临床医生的频率和门诊就诊次数。

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