Human resource time commitments and associated costs of Community Caregiver outreach team operations in South Africa.
Human resource time commitments and associated costs of Community Caregiver outreach team operations in South Africa.
复制标题
DOI：
10.1371/journal.pone.0282425
复制
发表时间：
2023
期刊：
影响因子：
3.7
通讯作者：
中科院分区：
文献类型：
--
作者：
在南非，社区护理人员访问家庭，提供基本保健服务，包括结核病和艾滋病毒的保健服务。然而，CCG的工作量、成本和时间负担在很大程度上是未知的。我们的目标是评估CCG团队在南非不同环境下的工作量和运营成本。2018年3月至10月期间，我们从南非埃库胡莱尼地区两家公共卫生诊所工作的11对CCG对中收集了标准化的自我报告活动时间表。CCG的工作量进行了评估的基础上，活动单位时间，每户访问时间，平均每天成功的家庭访问次数。使用基于活动的时间和CCG运营成本数据，我们从卫生系统的角度评估了CCG年度和每户访问成本（2019年美元）。1号诊所（城郊，7个社区保健小组对）和2号诊所（城市，非正规住区，4个社区保健小组对）的社区保健小组分别为3.1平方公里和0.6平方公里的登记住户提供服务，登记住户分别为8 035户和5 200户。CCG对在诊所1每天花费中位数236分钟进行现场活动，而在诊所2为235分钟。诊所1的CCG对在家庭中花费了49.5%的时间（与旅行相比），而诊所2的这一比例为35.0%。平均而言，CCG对成功访问9.5对6.7家庭，每天分别为诊所1和2。在诊所1，2.7%的家庭访问不成功，而在诊所2为28.5%。诊所1的年度总运营成本较高（71，780美元对49，097美元），但每次成功就诊的成本（3.58美元）低于诊所2（5.85美元）。CCG家访在诊所1中更频繁，更成功，成本更低，服务于更大，更正规的解决方案。在配对和诊所之间观察到的工作量和成本的变化表明，必须仔细评估环境因素和CCG需求，以优化CCG外展业务。
In South Africa, Community Caregivers (CCGs) visit households to provide basic healthcare services including those for tuberculosis and HIV. However, CCG workloads, costs, and time burden are largely unknown. Our objective was to assess the workloads and operational costs for CCG teams operating in different settings in South Africa. Between March and October 2018, we collected standardized self-reported activity time forms from 11 CCG pairs working at two public health clinics in Ekurhuleni district, South Africa. CCG workloads were assessed based on activity unit times, per-household visit time, and mean daily number of successful household visits. Using activity-based times and CCG operating cost data, we assessed CCG annual and per-household visit costs (USD 2019) from the health system perspective. CCGs in clinic 1 (peri-urban, 7 CCG pairs) and 2 (urban, informal settlement; 4 CCG pairs) served an area of 3.1 km2 and 0.6 km2 with 8,035 and 5,200 registered households, respectively. CCG pairs spent a median 236 minutes per day conducting field activities at clinic 1 versus 235 minutes at clinic 2. CCG pairs at clinic 1 spent 49.5% of this time at households (versus traveling), compared to 35.0% at clinic 2. On average, CCG pairs successfully visited 9.5 vs 6.7 households per day for clinics 1 and 2, respectively. At clinic 1, 2.7% of household visits were unsuccessful, versus 28.5% at clinic 2. Total annual operating costs were higher in clinic 1 ($71,780 vs $49,097) but cost per successful visit was lower ($3.58) than clinic 2 ($5.85). CCG home visits were more frequent, successful, and less costly in clinic 1, which served a larger and more formalized settlement. The variability in workload and cost observed across pairs and clinics suggests that circumstantial factors and CCG needs must be carefully assessed for optimized CCG outreach operations.
登录
查看更多内容
影响因子：
4.8
作者：
Schneider H;Nxumalo N
通讯作者：
Nxumalo N
影响因子：
3.6
作者：
Nelson C;Madiba S
通讯作者：
Madiba S
DOI：
10.4102/phcfm.v9i1.1252
发表时间：
2017-01-01
影响因子：
2
作者：
Marcus, Tessa S.;Hugo, Jannie;Jinabhai, Champak C.
通讯作者：
Jinabhai, Champak C.
影响因子：
2.8
作者：
Tampi, Radhika P.;Tembo, Taniya;Sohn, Hojoon
通讯作者：
Sohn, Hojoon
影响因子：
3.7
作者：
Chetty-Makkan CM;deSanto D;Lessells R;Charalambous S;Velen K;Makgopa S;Gumede D;Fielding K;Grant AD
通讯作者：
Grant AD