Patients’ preferences for antiretroviral therapy service provision: a systematic review View Full Text


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Article Info

DATE

2021-08-30

AUTHORS

Yihalem Abebe Belay, Mezgebu Yitayal, Asmamaw Atnafu, Fitalew Agimass Taye

ABSTRACT

BACKGROUND: Achieving global targets of adherence to treatment, retention in care, and treatment success remains a challenge. Health system investment to make antiretroviral therapy services more responsive to patients' needs and values could address these impediments. Appropriate resource allocation to implement differentiated HIV treatment services demands research evidence. This study aimed to provide an overview of the patients' preferences for antiretroviral therapy service delivery features. METHODS: Electronic databases (PubMed, Web of Science, Embase, and CINAHL) and search engines (Google and Google Scholar) were searched. This review has followed a convergent segregated approach to synthesis and integration. Data from the included studies were systematically extracted, tabulated, and summarised in a narrative review. Studies that analysed preferences for antiretroviral therapy regardless of the method used and published in the English language in any year across the world and HIV positive clients who were 15 years and above on 4th February 2021 were included for this review. The quality of the included studies was assessed using the mixed methods appraisal tool. A thematic synthesis of the data from the findings section of the main body of the qualitative study was undertaken. ATLAS.ti software version 7 was used for qualitative synthesis. RESULTS: From the 1054 retrieved studies, only 23 studies (16 quantitative, three qualitative, and four mixed-methods) fulfilled the inclusion criteria. The median number of attributes used in all included quantitative studies was 6 (Inter Quartile Range 3). In this review, no study has fulfilled the respective criteria in the methodological quality assessment. In the quantitative synthesis, the majority of participants more valued the outcome, whereas, in the qualitative synthesis, participants preferred more the structure aspect of antiretroviral therapy service. The thematic analysis produced 17 themes, of which ten themes were related to structure, three to process, and four to outcome dimension of Donabedian's quality of care model. The findings from individual quantitative and qualitative syntheses complement each other. CONCLUSIONS: In this review, participants' value for antiretroviral therapy service characteristics varied across included studies. Priorities and values of people living with HIV should be incorporated in the policy, practice, research, and development efforts to improve the quality of antiretroviral therapy service hence avoid poor patient outcomes. More... »

PAGES

56

References to SciGraph publications

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  • 2008-07-10. Methods for the thematic synthesis of qualitative research in systematic reviews in BMC MEDICAL RESEARCH METHODOLOGY
  • 2020-08-18. Optimizing Differentiated HIV Treatment Models in Urban Zimbabwe: Assessing Patient Preferences Using a Discrete Choice Experiment in AIDS AND BEHAVIOR
  • 2016-11-30. Which aspects of health care are most valued by people living with HIV in high-income countries? A systematic review in BMC HEALTH SERVICES RESEARCH
  • 2013-05-11. Patient preferences for HIV/AIDS therapy - a discrete choice experiment in HEALTH ECONOMICS REVIEW
  • 2009-06-16. Preferences for Characteristics of Antiretroviral Therapy Provision in Johannesburg, South Africa: Results of a Conjoint Analysis in AIDS AND BEHAVIOR
  • 2019-02-04. Differentiated service delivery: a qualitative study of people living with HIV and accessing care in a tertiary facility in Ghana in BMC HEALTH SERVICES RESEARCH
  • 2017-02-09. Patient-Initiated Repackaging of Antiretroviral Therapy, Viral Suppression and Drug Resistance in AIDS AND BEHAVIOR
  • 2013-01-17. Contracting with private providers for primary care services: evidence from urban China in HEALTH ECONOMICS REVIEW
  • 2017-07-04. A Survey of Patients’ Perspectives on Outpatient HIV Care in the Netherlands in INFECTIOUS DISEASES AND THERAPY
  • 2020-08-28. Exploring Relative Preferences for HIV Service Features Using Discrete Choice Experiments: a Synthetic Review in CURRENT HIV/AIDS REPORTS
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