Evidence map›Paper›PMID 34785559›Full record

ArticleBMJ open2021

Patient perspectives on integrated healthcare for HIV, hypertension and type 2 diabetes: a scoping review.

Sabine Singh, Ole Kirk, Shabbar Jaffar, Catherine Karakezi, Kaushik Ramaiya, P Kallestrup, Christian Kraef

Abstract readScoping Review
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

20 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Barriers and facilitators to primary care for people living with HIV and diabetes in Harare.African journal of primary health care & family medicine · 2024
    Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Observational
  15. Review
  16. Article
  17. Article
  18. Perinatal Women's Views of Pharmacist-Delivered Perinatal Depression Screening: A Qualitative Study.International journal of environmental research and public health · 2022
    Article
  19. Article
  20. 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

7 authors.

Sabine SinghDepartment of Public Health, Aarhus University, Aarhus, Denmark.
Ole KirkDepartment of Infectious Disease, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Shabbar JaffarDepartment of International Public Health, Liverpool School of Tropical Medicine, Liverpool, UK.ORCID 0000-0002-9615-1588
Catherine KarakeziKenya Diabetes Management and Information Centre, Nairobi, Kenya.
Kaushik RamaiyaShree Hindu Mandal Hospital, Dar es Salaam, Tanzania, United Republic of.
P KallestrupDanish Non-communicable Diseases Alliance, Copenhagen, Denmark.
Christian KraefDanish Non-communicable Diseases Alliance, Copenhagen, Denmark christiankraef@gmail.com.ORCID 0000-0002-5224-0335

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAntiretroviral therapy has reduced mortality and led to longer life expectancy in people living with HIV. These patients are now at an increased risk of non-communicable diseases (NCDs). Integration of care for HIV and NCDs has become a focus of research and policy. In this article, we aim to review patient perspectives on integration of healthcare for HIV, type 2 diabetes and hypertension.

methodsThe framework for scoping reviews developed by Arksey and O'Malley and updated by Peter

resultsOf 5502 studies initially identified, 13 articles were included in this review, of which 11 had a geographical origin in sub-Saharan Africa. Nine articles were primarily focused on HIV/diabetes healthcare integration while four articles were focused on HIV/hypertension integration. Patient's experiences with integrated care were reduced HIV-related stigma, reduced travel and treatment costs and a more holistic person-centred care. Prominent concerns were long waiting times at clinics and a lack of continuity of care in some clinics due to a lack of healthcare workers. Non-integrated care was perceived as time-consuming and more expensive.

conclusionPatient perspectives and experiences on integrated care for HIV, diabetes and hypertension were mostly positive. Integrated services can save resources and allow for a more personalised approach to healthcare. There is a paucity of evidence and further longitudinal and interventional evidence from a more diverse range of healthcare systems are needed.

Indexed as

Delivery of Health Care, IntegratedDiabetes Mellitus, Type 2HIV InfectionsHypertensionNoncommunicable DiseasesHumansdiabetes & endocrinologyHIV & AIDShypertensionqualitative researchquality in health care

Identifiers

PMID34785559
PMCPMC8596045

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.