'They care rudely!': resourcing and relational health system factors that influence retention in care for people living with HIV in Zambia.
Chanda MwambaAnjali SharmaNjekwa MukambaLaura BeresElvin GengCharles B HolmesIzukanji SikazweStephanie M ToppPublished in: BMJ global health (2018)
Findings demonstrate the dynamic effect of health system 'hardware' and 'software' factors on decisions to disengage. Our findings suggest a need for improved: physical resourcing and structuring of HIV services, preservice and inservice HCWs and management training and mentorship programmes to encourage HCWs to provide 'patient-centered' care and exercise 'flexibility' to meet patients' varying needs and circumstances.
Keyphrases
- healthcare
- palliative care
- quality improvement
- affordable care act
- physical activity
- end stage renal disease
- mental health
- ejection fraction
- newly diagnosed
- primary care
- antiretroviral therapy
- hiv infected
- human immunodeficiency virus
- pain management
- hiv positive
- high intensity
- hepatitis c virus
- hiv aids
- patient reported outcomes
- health insurance
- body composition
- resistance training