Patient satisfaction with HIV services in Vietnam: Status, service models and association with treatment outcome


Autoři: Bach Xuan Tran aff001;  Anh Kim Dang aff003;  Giang Thu Vu aff004;  Tung Thanh Tran aff004;  Carl A. Latkin aff002;  Cyrus S. H. Ho aff005;  Roger C. M. Ho aff006
Působiště autorů: Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam aff001;  Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, United States of America aff002;  Institute for Global Health Innovations, Duy Tan University, Da Nang, Vietnam aff003;  Center of Excellence in Evidence-based Medicine, Nguyen Tat Thanh University, Ho Chi Minh City, Vietnam aff004;  Department of Psychological Medicine, National University Hospital, Singapore, Singapore aff005;  Center of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Ho Chi Minh City, Vietnam aff006;  Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore aff007;  Institute for Health Innovation and Technology (iHealthtech), National University of Singapore, Singapore, Singapore aff008
Vyšlo v časopise: PLoS ONE 14(11)
Kategorie: Research Article
doi: 10.1371/journal.pone.0223723

Souhrn

This study assessed the satisfaction of patients receiving antiretroviral treatment (ART) in Vietnam and its multilevel predictors. Cross-sectional data were collected from January to September 2013 in eight outpatient clinics in Hanoi and Nam Dinh provinces. Patient satisfaction was evaluated using the Satisfaction with HIV/AIDS Treatment Interview Scale. Multivariable Tobit regression was utilized to measure the associations between these factors and satisfaction with treatment services. Generalized Mixed-effect Regression model was used to estimate the effect of satisfaction with the quality of service on the change between the initial and the latest CD4 cell count. Among 1133 patients, most of them were completely satisfied with the 10 domains measured (65.5% to 82.5%). “Service quality and convenience” domain which was attributed by the waiting time and administrative procedure had the lowest score of complete satisfaction. Compared to central clinics, provincial clinics were negatively associated with the overall satisfaction (Coef = -0.58; 95%CI = -0.95; -0.21). Patients rating higher score in “Consultation, explanation, and guidance of health care workers”, “Responsiveness of health care workers to patients’ questions and requests” and “Perceived overall satisfaction with the quality of service” were related to improvement in immunological treatment outcomes. Our results revealed the high level of satisfaction among ART patients towards HIV care and treatment services, and this had a high correlation to treatment outcomes. Interventions should focus on reducing administrative procedures, providing sufficient guidance and comprehensive services which integrate physical with psychological care for improving the health outcome of the ART program.

Klíčová slova:

AIDS – Health care facilities – Health services administration and management – HIV diagnosis and management – Patients – Vietnam


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Článek vyšel v časopise

PLOS One


2019 Číslo 11