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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
A comparative study of tuberculosis patients initiated on ART and receiving different models of TB-HIV care
International Journal of Tuberculosis and Lung Disease, Volume 17, No. 12, Year 2013
Notification
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Description
SETTING: Although health policy in South Africa calls for the integration of services, the effectiveness of different models of integration on patient outcomes has not been well demonstrated. OBJECTIVE: To evaluate the outcomes of coinfected patients starting antiretroviral treatment (ART) in a tuberculosis (TB) hospital who received different models of ongoing care. DESIGN: This cohort study compared outcomes for 271 coinfected patients who started ART in a TB hospital in the Western Cape. After discharge, one group of patients received anti-tuberculosis treatment and ART from different providers, in the same or in different clinics (vertical care). The other group received anti-tuberculosis treatment and ART at the same visit from the same service provider (integrated care). Demographic and clinical data and TB and ART outcomes were compared. RESULTS: The vertical care model had more unfavourable outcomes for anti-tuberculosis treatment (28.7% vs. 5.9%, P < 0.001) and ART (30.1% vs. 7.4%, P < 0.001) than the integrated care model. The vertical care model showed no difference whether services were provided by two service providers in the same or in geographically separate primary health care clinics. CONCLUSION: Patient outcomes were better when TB and HIV care was received from the same service provider at the same visit. © 2013 The Union.
Authors & Co-Authors
Schulz, Sigrid A.
South Africa, Worcester
Brewelskloof Hospital
Draper, Heather R.
South Africa, Stellenbosch
Stellenbosch University
Naidoo, Pren
South Africa, Stellenbosch
Stellenbosch University
Statistics
Citations: 16
Authors: 3
Affiliations: 2
Identifiers
Doi:
10.5588/ijtld.13.0247
ISSN:
10273719
Research Areas
Health System And Policy
Infectious Diseases
Study Design
Cohort Study
Study Approach
Quantitative
Study Locations
South Africa