Quality of care and adherence to antiretroviral drugs in specialized HIV services in Pernambuco/Brazil, 2017-2018

Detalhes bibliográficos
Autor(a) principal: Moraes,Danielle Chianca de Andrade
Data de Publicação: 2021
Outros Autores: Cabral,Juliana da Rocha, Oliveira,Regina Célia de, Souza,Vanessa Alves de
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Saude em Debate
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-11042021000401088
Resumo: ABSTRACT The aim of this study was to evaluate health care quality and medication adherence in people living with human immunodeficiency virus in specialized care services. This is a cross-sectional, evaluative study, with a quantitative approach, carried out in ten services in Pernambuco. Two instruments were validated and analyzed by statistical tests were used and 306 adults and their service managers participated. The quality standard was equivalent for most indicators. Only in the countryside, the indicators referring to the availability of antiretroviral drugs and care in the absence of medication were associated with low adherence (p-value=0.033 and p-value=0.011), the latter being a predictor for low adherence. Services with insufficient quality standards showed a 19% higher occurrence of low medication adherence. 81% of users had low adherence to antiretroviral drugs. There is a deficiency in adherence to antiretroviral drugs, and those assisted in services in the countryside have more complicating factors related to the quality of health care for satisfactory adherence.
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spelling Quality of care and adherence to antiretroviral drugs in specialized HIV services in Pernambuco/Brazil, 2017-2018Quality of health careMedication adherenceAnti-retroviral agentsABSTRACT The aim of this study was to evaluate health care quality and medication adherence in people living with human immunodeficiency virus in specialized care services. This is a cross-sectional, evaluative study, with a quantitative approach, carried out in ten services in Pernambuco. Two instruments were validated and analyzed by statistical tests were used and 306 adults and their service managers participated. The quality standard was equivalent for most indicators. Only in the countryside, the indicators referring to the availability of antiretroviral drugs and care in the absence of medication were associated with low adherence (p-value=0.033 and p-value=0.011), the latter being a predictor for low adherence. Services with insufficient quality standards showed a 19% higher occurrence of low medication adherence. 81% of users had low adherence to antiretroviral drugs. There is a deficiency in adherence to antiretroviral drugs, and those assisted in services in the countryside have more complicating factors related to the quality of health care for satisfactory adherence.Centro Brasileiro de Estudos de Saúde2021-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-11042021000401088Saúde em Debate v.45 n.131 2021reponame:Saude em Debateinstname:Centro Brasileiro de Estudos de Saudeinstacron:CBES10.1590/0103-1104202113111iinfo:eu-repo/semantics/openAccessMoraes,Danielle Chianca de AndradeCabral,Juliana da RochaOliveira,Regina Célia deSouza,Vanessa Alves deeng2021-12-06T00:00:00Zoai:scielo:S0103-11042021000401088Revistahttp://www.scielo.br/scielo.php?script=sci_serial&pid=0103-1104&lng=en&nrm=isohttps://old.scielo.br/oai/scielo-oai.phprevista@saudeemdebate.org.br2358-28980103-1104opendoar:2021-12-06T00:00Saude em Debate - Centro Brasileiro de Estudos de Saudefalse
dc.title.none.fl_str_mv Quality of care and adherence to antiretroviral drugs in specialized HIV services in Pernambuco/Brazil, 2017-2018
title Quality of care and adherence to antiretroviral drugs in specialized HIV services in Pernambuco/Brazil, 2017-2018
spellingShingle Quality of care and adherence to antiretroviral drugs in specialized HIV services in Pernambuco/Brazil, 2017-2018
Moraes,Danielle Chianca de Andrade
Quality of health care
Medication adherence
Anti-retroviral agents
title_short Quality of care and adherence to antiretroviral drugs in specialized HIV services in Pernambuco/Brazil, 2017-2018
title_full Quality of care and adherence to antiretroviral drugs in specialized HIV services in Pernambuco/Brazil, 2017-2018
title_fullStr Quality of care and adherence to antiretroviral drugs in specialized HIV services in Pernambuco/Brazil, 2017-2018
title_full_unstemmed Quality of care and adherence to antiretroviral drugs in specialized HIV services in Pernambuco/Brazil, 2017-2018
title_sort Quality of care and adherence to antiretroviral drugs in specialized HIV services in Pernambuco/Brazil, 2017-2018
author Moraes,Danielle Chianca de Andrade
author_facet Moraes,Danielle Chianca de Andrade
Cabral,Juliana da Rocha
Oliveira,Regina Célia de
Souza,Vanessa Alves de
author_role author
author2 Cabral,Juliana da Rocha
Oliveira,Regina Célia de
Souza,Vanessa Alves de
author2_role author
author
author
dc.contributor.author.fl_str_mv Moraes,Danielle Chianca de Andrade
Cabral,Juliana da Rocha
Oliveira,Regina Célia de
Souza,Vanessa Alves de
dc.subject.por.fl_str_mv Quality of health care
Medication adherence
Anti-retroviral agents
topic Quality of health care
Medication adherence
Anti-retroviral agents
description ABSTRACT The aim of this study was to evaluate health care quality and medication adherence in people living with human immunodeficiency virus in specialized care services. This is a cross-sectional, evaluative study, with a quantitative approach, carried out in ten services in Pernambuco. Two instruments were validated and analyzed by statistical tests were used and 306 adults and their service managers participated. The quality standard was equivalent for most indicators. Only in the countryside, the indicators referring to the availability of antiretroviral drugs and care in the absence of medication were associated with low adherence (p-value=0.033 and p-value=0.011), the latter being a predictor for low adherence. Services with insufficient quality standards showed a 19% higher occurrence of low medication adherence. 81% of users had low adherence to antiretroviral drugs. There is a deficiency in adherence to antiretroviral drugs, and those assisted in services in the countryside have more complicating factors related to the quality of health care for satisfactory adherence.
publishDate 2021
dc.date.none.fl_str_mv 2021-01-01
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-11042021000401088
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dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/0103-1104202113111i
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Centro Brasileiro de Estudos de Saúde
publisher.none.fl_str_mv Centro Brasileiro de Estudos de Saúde
dc.source.none.fl_str_mv Saúde em Debate v.45 n.131 2021
reponame:Saude em Debate
instname:Centro Brasileiro de Estudos de Saude
instacron:CBES
instname_str Centro Brasileiro de Estudos de Saude
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institution CBES
reponame_str Saude em Debate
collection Saude em Debate
repository.name.fl_str_mv Saude em Debate - Centro Brasileiro de Estudos de Saude
repository.mail.fl_str_mv revista@saudeemdebate.org.br
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