Quality of HIV care provided by non-physician clinicians and physicians in Mozambique: A retrospective cohort study

AIDS

Volumn 24, Issue SUPPL. 1, 2010, Pages

  Sherr, Kenneth H ^a,b   Micek, Mark A ^a,b   Gimbel, Sarah O ^a,b   Gloyd, Stephen S ^a,b   Hughes, James P ^a   John Stewart, Grace C ^a   Manjate, Rosa M ^c   Pfeiffer, James ^a,b   Weiss, Noel S ^a  

^a UNIVERSITY OF WASHINGTON   (United States)

^b HEALTH ALLIANCE INTERNATIONAL   (United States)

^c Mozambique Ministry of Health   (Mozambique)

Author keywords

Antiretroviral therapy; Mozambique; Non physician clinicians; Scale up; Task shifting

Indexed keywords

ANTIRETROVIRUS AGENT;

ADULT; ARTICLE; CD4 LYMPHOCYTE COUNT; COMPARATIVE STUDY; FEMALE; FOLLOW UP; HAZARD RATIO; HEALTH CARE; HEALTH CARE PERSONNEL; HEALTH CARE QUALITY; HEALTH PROGRAM; HIGHLY ACTIVE ANTIRETROVIRAL THERAPY; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS; HUMAN IMMUNODEFICIENCY VIRUS INFECTION; MAJOR CLINICAL STUDY; MALE; MEDICAL RECORD; MOZAMBIQUE; MULTIVARIATE ANALYSIS; OUTPATIENT DEPARTMENT; PATIENT CARE; PHYSICIAN; PRIORITY JOURNAL; RETROSPECTIVE STUDY;

ADULT; ANTIRETROVIRAL THERAPY, HIGHLY ACTIVE; CD4 LYMPHOCYTE COUNT; FEMALE; HIV INFECTIONS; HUMANS; MALE; MOZAMBIQUE; PHYSICIAN ASSISTANTS; PHYSICIAN'S PRACTICE PATTERNS; PHYSICIANS; QUALITY OF HEALTH CARE; RETROSPECTIVE STUDIES;

EID: 74349126958     PISSN: 02699370     EISSN: 14735571     Source Type: Journal    
DOI: 10.1097/01.aids.0000366083.75945.07     Document Type: Article

References (45)

1. Cohen J. HIV/AID.S. The great funding surge. Science 2008; 321:512-519.
2. World Health Organization. Towards universal access: scaling up priority HIV/AIDS interventions in the health sector: progress report 2008. Geneva: WHO; 2008.
3. Kober K, Van Damme W. Scaling up access to antiretroviral treatment in southern Africa: who will do the job? Lancet 2004; 364:103-107.
4. Hosseinipour MC, Kazembe PN, Sanne IM, van der Horst CM. Challenges in delivering antiretroviral treatment in resource poor countries. AIDS 2002; 16 (Suppl. 4):S177-S187.
5. Chen L, Evans T, Anand S, Boufford JI, Brown H, Chowdhury M, et al. Human resources for health: overcoming the crisis. Lancet 2004; 364:1984-1990. (Pubitemid 39574602)
6. World Health Organization. Task shifting: rational redistribution of tasks among health workforce teams: global recommendations and guidelines. Geneva: World Health Organization; 2007.
7. Marchal B, De Brouwere V, Kegels G. Viewpoint: HIV/AIDS and the health workforce crisis: what are the next steps? Trop Med Int Health 2005; 10:300-304.
8. Marchal B, Kegels G, De Brouwere V. Human resources in scaling up HIV/AIDS programmes: just a killer assumption or in need of new paradigms? AIDS 2004; 18:2103-2105.
9. Sherr K, Pfeiffer J, Mussa A, Vio F, Gimbel S, Micek M, Gloyd S. The role of nonphysician clinicians in the rapid expansion of HIV care in Mozambique. J Acquir Immune Defic Syndr 2009; 52 (Suppl. 1):S20-S23.
10. Gilks CF, Crowley S, Ekpini R, Gove S, Perriens J, Souteyrand Y, et al. The WHO public-health approach to antiretroviral treatment against HIV in resource-limited settings. Lancet 2006; 368:505-510.
11. Hongoro C, McPake B. How to bridge the gap in human resources for health. Lancet 2004; 364:1451-1456.
12. Samb B, Celletti F, Holloway J, Van Damme W, De Cock KM, Dybul M. Rapid expansion of the health workforce in response to the HIV epidemic. N Engl J Med 2007; 357:2510-2514.
13. Philips M, Zachariah R, Venis S. Task shifting for antiretroviral treatment delivery in sub-Saharan Africa: not a panacea. Lancet 2008; 371:682-684.
14. Sackett DL, Spitzer WO, Gent M, Roberts RS. The Burlington randomized trial of the nurse practitioner: health outcomes of patients. Ann Intern Med 1974; 80:137-142.
15. Spitzer WO, Sackett DL, Sibley JC, Roberts RS, Gent M, Kergin DJ, et al. The Burlington randomized trial of the nurse practitioner. N Engl J Med 1974; 290:251-256.
16. Sox HC Jr. Quality of patient care by nurse practitioners and physician's assistants: a ten-year perspective. Ann Intern Med 1979; 91:459-468.
17. Mundinger MO, Kane RL, Lenz ER, Totten AM, Tsai WY, Cleary PD, et al. Primary care outcomes in patients treated by nurse practitioners or physicians: a randomized trial. JAMA 2000; 283:59-68.
18. Brown SA, Grimes DE. Nurse practitioners and certified nurse-midwives: a meta-analysis of studies on nurses in primary care roles. ANA Publ 1993; i-xx, 1-105.
19. Office of Technology Assessment (US). Nurse practitioners, physician assistants, and certified nurse-midwives: a policy analysis. Kansas City, MO: American Nurses' Association; 1989.
20. Horrocks S, Anderson E, Salisbury C. Systematic review of whether nurse practitioners working in primary care can provide equivalent care to doctors. BMJ 2002; 324:819-823.
21. Wilson IB, Landon BE, Hirschhorn LR, McInnes K, Ding L, Marsden PV, Cleary PD. Quality of HIV care provided by nurse practitioners, physician assistants, and physicians. Ann Intern Med 2005; 143:729-736.
22. Vaz F, Bergstrom S, Vaz Mda L, Langa J, Bugalho A. Training medical assistants for surgery. Bull WHO 1999; 77:688-691.
23. Ofori-Adjei D, Arhinful DK. Effect of training on the clinical management of malaria by medical assistants in Ghana. Soc Sci Med 1996; 42:1169-1176.
24. Fenton PM, Whitty CJ, Reynolds F. Caesarean section in Malawi: prospective study of early maternal and perinatal mortality. BMJ 2003; 327:587.
25. Pereira C, Cumbi A, Malalane R, Vaz F, McCord C, Bacci A, Bergstrom S. Meeting the need for emergency obstetric care in Mozambique: work performance and histories of medical doctors and assistant medical officers trained for surgery. Br J Obstet Gynaecol 2007; 114:1530-1533.
26. Warriner IK, Meirik O, Hoffman M, Morroni C, Harries J, My Huong NT, et al. Rates of complication in first-trimester manual vacuum aspiration abortion done by doctors and mid-level providers in South Africa and Vietnam: a randomised controlled equivalence trial. Lancet 2006; 368:1965-1972.
27. Chilopora G, Pereira C, Kamwendo F, Chimbiri A, Malunga E, Bergstrom S. Postoperative outcome of caesarean sections and other major emergency obstetric surgery by clinical officers and medical officers in Malawi. Hum Resource Health 2007; 5:17.
28. Pereira C, Bugalho A, Bergstrom S, Vaz F, Cotiro M. A comparative study of caesarean deliveries by assistant medical officers and obstetricians in Mozambique. Br J Obstet Gynaecol 1996; 103:508-512.
29. Hounton SH, Newlands D, Meda N, De Brouwere V. A cost-effectiveness study of caesarean-section deliveries by clinical officers, general practitioners and obstetricians in Burkina Faso. Hum Resource Health 2009; 7:34.
30. McCordC, Mbaruku G, Pereira C, NzabuhakwaC,Bergstrom S. The quality of emergency obstetrical surgery by assistant medical officers in Tanzanian district hospitals. Health Affairs (Millwood) 2009; 28:876-885.
31. Shumbusho F. Task shifting to achieve universal access to HIV care and treatment services in Rwanda: a nurse centered ART program at three rural health centres. In: HIV Implementer's Meeting. Kampala, Uganda, June 3-7, 2008 [Abstract 621].
32. Cohen R, Lynch S, Bygrave H, Eggers E, Vlahakis N, Hilderbrand K, et al. Antiretroviral treatment outcomes from a nurse-driven, community-supported HIV/AIDS treatment programme in rural Lesotho: observational cohort assessment at two years. J Int AIDS Soc 2009; 12:23.
33. I-TECH. Evaluation of the training of Tecnicos de Medicina in Mozambique. Available at: http://www.go2itech.org/what-we-do/operations-research-and- evaluation/quality-improvement/ qi-program-examples/evaluation-of-the-training- of-tecnicos-de-medicina-in-mozambique. Accessed: 8 November 2009.
34. Vasan A, Kenya-Mugisha N, Seung KJ, Achieng M, Banura P, Lule F, et al. Agreement between physicians and non-physician clinicians in starting antiretroviral therapy in rural Uganda. Hum Resource Health 2009; 7:75.
35. Ministério da Saúde. Guião de bolso: tratamento antiretroviral e infecção oportunistas adulto e adolescente. Maputo: Ministry of Health; 2006.
36. Kitahata MM, Reed SD, Dillingham PW, Van Rompaey SE, Young AA, Harrington RD, Holmes KK. Pharmacy-based assessment of adherence to HAART predicts virologic and immunologic treatment response and clinical progression to AIDS and death. Int J STD AIDS 2004; 15:803-810.
37. Oyugi JH, Byakika-Tusiime J, Charlebois ED, Kityo C, Mugerwa R, Mugyenyi P, Bangsberg DR. Multiple validated measures of adherence indicate high levels of adherence to generic HIV antiretroviral therapy in a resource-limited setting. J Acquir Immune Defic Syndr 2004; 36:1100-1102.
38. Bangsberg DR. Less than 95% adherence to nonnucleoside reverse-transcriptase inhibitor therapy can lead to viral suppression. Clin Infect Dis 2006; 43:939-941.
39. Boileau C, Nguyen VK, Sylla M, Machouf N, Chamberland A, Traore HA, et al. Low prevalence of detectable HIV plasma viremia in patients treated with antiretroviral therapy in Burkina Faso and Mali. J Acquir Immune Defic Syndr 2008; 48:476-484.
40. Sarna A, Pujari S, Sengar AK, Garg R, Gupta I, Dam J. Adherence to antiretroviral therapy and its determinants amongst HIV patients in India. Indian J Med Res 2008; 127:28-36.
41. Golin CE, Liu H, Hays RD, Miller LG, Beck CK, Ickovics J, et al. A prospective study of predictors of adherence to combination antiretroviral medication. J Gen Intern Med 2002; 17:756-765.
42. Brinkhof MW, Dabis F, Myer L, Bangsberg DR, Boulle A, Nash D, et al. Early loss of HIV-infected patients on potent antire-troviral therapy programmes in lower-income countries. Bull WHO 2008; 86:559-567.
43. Stringer JS, Zulu I, Levy J, Stringer EM, Mwango A, Chi BH, et al. Rapid scale-up of antiretroviral therapy at primary care sites in Zambia: feasibility and early outcomes. JAMA 2006; 296:782-793.
44. Shortell SM, Marsteller JA, Lin M, Pearson ML, Wu SY, Mendel P, et al. The role of perceived team effectiveness in improving chronic illness care. Med Care 2004; 42:1040-1048.
45. Grumbach K, Bodenheimer T. Can health care teams improve primary care practice? JAMA 2004; 291:1246-1251.