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在以患者为中心的护理方面,艾滋病病毒治疗提供者与患者的观点是否一致?从加纳艾滋病病毒治疗环境中实施以患者为中心的护理评估工具(PCC-AT)中吸取的经验教训。

Do HIV provider and client perspectives align on person-centered care? Lessons learned from implementation of the Person-Centered Care Assessment Tool (PCC-AT) in HIV treatment settings in Ghana.

作者信息

Posner Jessica E, Duffy Malia, Madevu-Matson Caitlin, Tagoe Henry, Casella Amy, Sharer Melissa, Nagai Henry

机构信息

John Snow, Inc., Washington, DC, United States of America.

Health Across Humanity, LLC., Boston, Massachusetts, United States of America.

出版信息

PLOS Glob Public Health. 2024 Sep 6;4(9):e0003457. doi: 10.1371/journal.pgph.0003457. eCollection 2024.

Abstract

Person-centered care (PCC) is foundational to improve client's experiences in care while advancing HIV-related outcomes. However, information is scarce on how to assess PCC in HIV treatment settings. This study team developed the PCC assessment tool (PCC-AT) to assess the performance in HIV clinics in Ghana. The objectives of this study were to: (1) pilot the PCC-AT and assess scoring consistency and reliability among clients and providers; and (2) assess content validity of the PCC-AT through client key informant perspectives and experiences. An analysis of similarities and differences in PCC-AT domain scores between ART providers and clients was conducted to assess score reliability. Axial and open coding of transcripts using NVivo identified key themes. Findings indicate that the PCC framework aligns with client's priorities, additionally two out of the three PCC domain scores demonstrated consistency between ART providers and clients. Emerging differences in ART provider and client perspectives highlighted opportunities for growth and underscored the importance of continually gathering client feedback as an integral component of a PCC assessment to continually strengthen ART services.

摘要

以患者为中心的护理(PCC)是改善患者护理体验并提升与艾滋病病毒相关治疗效果的基础。然而,关于如何在艾滋病病毒治疗环境中评估以患者为中心的护理,相关信息却很匮乏。该研究团队开发了以患者为中心的护理评估工具(PCC-AT),以评估加纳艾滋病病毒诊所的服务表现。本研究的目的是:(1)试用PCC-AT,并评估患者和医护人员评分的一致性和可靠性;(2)通过患者关键信息提供者的观点和经历评估PCC-AT的内容效度。对接受抗逆转录病毒治疗(ART)的医护人员和患者之间PCC-AT领域得分的异同进行分析,以评估得分的可靠性。使用NVivo软件对访谈记录进行轴向编码和开放式编码,确定关键主题。研究结果表明,以患者为中心的护理框架与患者的优先事项相符,此外,三个以患者为中心的护理领域得分中的两个在接受抗逆转录病毒治疗的医护人员和患者之间表现出一致性。抗逆转录病毒治疗医护人员和患者观点中出现的差异突出了发展机会,并强调了持续收集患者反馈作为以患者为中心的护理评估不可或缺的一部分,以不断加强抗逆转录病毒治疗服务的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b0b/11379259/b8f95df9f026/pgph.0003457.g001.jpg

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