Quality of care and adherence to antiretroviral drugs in specialized HIV services in Pernambuco/Brazil, 2017-2018
Autor(a) principal: | |
---|---|
Data de Publicação: | 2021 |
Outros Autores: | , , |
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. |
id |
CBES-1_c4322f9bf774960e68042b00765323c2 |
---|---|
oai_identifier_str |
oai:scielo:S0103-11042021000401088 |
network_acronym_str |
CBES-1 |
network_name_str |
Saude em Debate |
repository_id_str |
|
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 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-11042021000401088 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-11042021000401088 |
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 |
instacron_str |
CBES |
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 |
_version_ |
1754209001735716864 |