Kooperationsstrukturen in der HIV-Betreuung zwischen einem spezialisierten HIV-Zentrum und niedergelassenen Ärztinnen und Ärzten

Nöstlinger, C; Page, Julie; Jaccard, René; Somaini, Bertino; Weber, Rainer

doi:10.1055/s-2003-37693

Cited by 2 publications

(2 citation statements)

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“…Prior to this study, focus group discussions were conducted to assess dimensions important for the care of people with HIV [19,20]. On the basis of these results we developed structured questions concerning: (i) the overall satisfaction of each patient with his/her healthcare model; (ii) the satisfaction with aspects related to the treating physician (competence, continuity, course of a visit); and (iii) the evaluation of different health-care dimensions (interaction of providers with patients, non-personal qualities of care setting).…”

Section: Patients' Satisfaction Evaluation Of Health Service Dimensionsmentioning

confidence: 99%

Quality of generalist vs. speciality care for people with HIV on antiretroviral treatment: a prospective cohort study

et al. 2003

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Section: Patients' Satisfaction Evaluation Of Health Service Dimensionsmentioning

confidence: 99%

Quality of generalist vs. speciality care for people with HIV on antiretroviral treatment: a prospective cohort study

et al. 2003

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“…There is, for example, data on cost-effectiveness of HIV care in private practices versus public hospitals in South Africa [6]. Another study from Switzerland focused on the improvement of co-operation between different facility types [7]. To our knowledge, there are, to date, no outcome results relevant for medical prognosis of patients considering medical care setting.…”

Section: Introductionmentioning

confidence: 99%

Ambulatory care for HIV-infected patients: differences in outcomes between hospital-based units and private practices: analysis of the RESINA cohort

et al. 2013

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BackgroundThe efficacy of highly active antiretroviral therapy (HAART) in the treatment of HIV infection is influenced by factors such as potency of applied drugs, adherence of the patient, and resistance-associated mutations. Up to now, there is insufficient data on the impact of the therapeutic setting.MethodsSince 2001, the prospective multicenter RESINA study has examined the epidemiology of transmitted HIV drug resistance in Nordrhein-Westfalen, the largest federal state of Germany by population. Characteristics of patients treated in hospital-based outpatient units were compared to those of patients treated in medical practices. Longitudinal data of all participants are being followed in a cohort study.ResultsOverall, 1,591 patients were enrolled between 2001 and 2009 with follow-up until the end of 2010. Of these, 1,099 cases were treated in hospital-based units and 492 in private practices. Significant differences were found with respect to baseline characteristics. A higher rate of patients with advanced disease and non-European nationality were cared for in hospital units. Patients in medical practices were predominantly Caucasian men who have sex with men (MSM) harboring HIV-1 subtype B, with lower CDC stage and higher CD4 cell count. Median viral load was 68,828 c/mL in hospital-based units and 100,000 c/mL in private practices (P = 0.041). Only median age and rate of transmitted drug resistance were not significantly different. After 48 weeks, 81.9% of patients in hospital units and 85.9% in private practices had a viral load below the limit of detection (P = 0.12). A similar result was seen after 96 weeks (P = 0.54). Although the baseline CD4 cell count was different (189.5/μL in hospital units and 246.5/μL in private practices, P <0.001), a consistent and almost identical increase was determined in both groups.ConclusionsThe RESINA study covers a large HIV-infected patient cohort cared for in specialized facilities in Germany. Despite significant differences of patients’ baseline characteristics in hospital-based units compared to medical practices, we could not find significant differences in treatment outcome up to 2 years after the initiation of HAART.

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Kooperationsstrukturen in der HIV-Betreuung zwischen einem spezialisierten HIV-Zentrum und niedergelassenen Ärztinnen und Ärzten

Abstract: On the basis of the results obtained, suggestions for improved co-operation as recommended by the participants are discussed, which could further increase the quality of HIV-related care.

Cited by 2 publications

References 14 publications

Quality of generalist vs. speciality care for people with HIV on antiretroviral treatment: a prospective cohort study

Quality of generalist vs. speciality care for people with HIV on antiretroviral treatment: a prospective cohort study

Ambulatory care for HIV-infected patients: differences in outcomes between hospital-based units and private practices: analysis of the RESINA cohort

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