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- Title
Comparison of health system responsiveness between HIV and non-HIV patients at infectious disease clinics in Yunnan, China.
- Authors
Li, Jing; Chongsuvivatwong, Virasakdi; Assanangkornchai, Sawitri; McNeil, Edward B; Cai, Le
- Abstract
Background: China is in an epidemiologic transition period. Health system responsiveness (HSR) has become an increasing concern in China. With the burden of increasing human immunodeficiency virus (HIV) infection/acquired immune deficiency syndrome, responsiveness of HIV care is urgently needed. We aimed at comparing the experience of HSR between HIV-positive and non-HIV patients. Methods: A cross-sectional study was carried out in Yunnan, China, from January to February 2015 among two consecutive groups of HIV and non-HIV patients in two hospitals with the largest HIV admissions. Patients’ experience and expectation of HSR were measured using a self-reported questionnaire containing items of seven domains and 35 vignettes (five per domain). Each of the items and vignettes was ranked from 1 “very good” to 5 “very bad.” For each domain, B-scales were built based on the difference between experience and the vignettes. Ordered probit and censored ordered probit regression models were constructed to compare HSR experience between the two groups adjusted for socioeconomic status (SES) factors. Results: The majority of HIV patients were at clinical stage 1, were infected via unprotected sexual contact, and had a CD4 count
- Subjects
HIV-positive persons; MEDICAL care; PUBLIC health; HEALTH facilities; ANTIRETROVIRAL agents
- Publication
Patient Preference & Adherence, 2018, Vol 12, p1129
- ISSN
1177-889X
- Publication type
Article
- DOI
10.2147/PPA.S163416