Experiences of participating in an antiretroviral treatment adherence club.
Experiences of participating in an antiretroviral treatment adherence club.
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DOI：
10.1080/13548506.2014.953962
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发表时间：
2015
期刊：
影响因子：
--
通讯作者：
Kagee A
中科院分区：
文献类型：
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作者：
Dudhia R;Kagee A
为了简化南非接受抗逆转录病毒疗法(ART)的大量患者的管理，自2008年以来，在西开普省的一些地区引入了坚持俱乐部。依从性俱乐部是约30名接受团体依从性咨询并获得药物供应的抗逆转录病毒药物使用者的团体诊所。我们试图记录参加依从性俱乐部的患者和俱乐部运营的诊所的医护人员的经历。参与者包括6名ART坚持俱乐部成员和7名卫生保健工作者，其中包括艾滋病毒护士、医生、药剂师和咨询师。一对一访谈形式的数据是在南非西开普省郊区一家大型地区医院的传染病诊所收集的。访谈涉及ART使用者对俱乐部的体验、在以俱乐部为基础的提供治疗方法的背景下出现的优势和挑战，以及ART使用者和卫生保健工作者(HCW)对俱乐部的关注。采用专题分析方法对数据进行分析。引入依从性俱乐部有明显的好处，最重要的是减少了ART患者需要在诊所花费的时间。然而，也出现了各种问题，其中最重要的是与及时和正确地运送毒品有关的后勤问题。在向种族隔离后的南非的大量患者提供抗逆转录病毒治疗服务的背景下，讨论了这些利弊。
In an effort to streamline the management of large numbers of patients receiving antiretroviral therapy (ART) in South Africa, adherence clubs were introduced in some districts in the Western Cape since 2008. Adherence clubs are group clinic visits of approximately thirty ART users who receive group adherence counselling and obtain a supply of medication. We sought to document the experiences of patients attending adherence clubs and health care workers at clinics where clubs were operating. Participants were six ART adherence club members and seven health care workers, which included HIV nurses, medical doctors, pharmacists and counsellors. Data in the form of one-on-one interviews were collected at the Infectious Diseases Clinic of a large district hospital in a peri-urban area in the Western Cape region of South Africa. The interviews covered ART users’ experiences of the clubs, advantages and challenges that arose in the context of the club-based method of providing treatment, and the concerns facing ART users and health care workers (HCW’s) with regard to the clubs. The data were analysed using thematic analysis. There were clear benefits to the introduction of adherence clubs, most importantly the reduced amount of time ART users needed to spend at the clinic. Yet, various problems also emerged, the most important one being the logistical problems associated with the timely and correct delivery of drugs. These benefits and disadvantages are discussed in the context of providing ART services to large numbers of patients in post-apartheid South Africa.