Evidence map›Paper›PMID 26878024›Full record

ArticleActualizaciones en SIDA e infectologia2014

[Barriers to adherence and retention in public and private healthcare according to patients and health workers].

Inés Arístegui, Analía Dorigo, Lina Bofill, Alejandra Bordatto, Mar Lucas, Graciela Fernández Cabanillas, Omar Sued, Pedro Cahn, Isabel Cassetti, Stephen Weiss and 1 more

Abstract readEnglish Abstract
In one paragraph

Article in Actualizaciones en SIDA e infectologia, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Inés ArísteguiFundación Huésped.
Analía DorigoFundación Huésped.
Lina BofillUniversity of Miami Miller School of Medicine.
Alejandra BordattoHelios Salud.
Mar LucasFundación Huésped.
Graciela Fernández CabanillasHelios Salud.
Omar SuedFundación Huésped.
Pedro CahnFundación Huésped.
Isabel CassettiHelios Salud.
Stephen WeissUniversity of Miami Miller School of Medicine.
Deborah JonesUniversity of Miami Miller School of Medicine.

Funding

Positive ConnectionsR34MH097609 · NIMH · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI JONES, DEBORAH LYNNE · 2012 to 2014
$608k
NIMH NIH HHS R34 MH097609
6 · The paper itself

Abstract

introductionThe National Program of AIDS guarantees universal access to antiretroviral medication, yet people receiving treatment through the public healthcare system do not achieve an undetectable viral load in the same rate than patients in the private system. This qualitative study aims to identify factors associated with adherence and retention in the HIV-cascade of care at public and private setting from Buenos Aires, based on patients and healthcare workers' perceptions.

methodsQualitative data from 12 semi-structured interviews with key informants and 4 focus groups of patients and healthcare workers from the public and private systems were recorded. Transcripts were coded and analyzed, using the QRS Nvivo9® software for qualitative data analysis, into set themes on adherence.

resultsPatients and healthcare workers of both systems agree on the importance of HIV-related stigma, professional-patient relationship and communication, and the division of treatment-related responsibilities as fundamental aspects for adherence and retention in the HIV-cascade of care. Differences in the manner these factors interact were observed between healthcare systems. Structural barriers are presented as the main adherence barrier in the public system. DISCUSSION: The need for interventions focused on the doctor-patient dyad considering the features of each healthcare is highlighted in order to facilitate patient engagement in adherence.

Identifiers

PMID26878024
PMCPMC4751985

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.