FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W1974530306> ?p ?o ?g. }

• W1974530306 abstract "In low-resource settings, patients' use of multiple healthcare sources may complicate chronic care and clinical outcomes as antiretroviral therapy (ART) continues to expand. However, little is known regarding patterns, drivers and consequences of using multiple healthcare sources. We therefore investigated factors associated with patterns of plural healthcare usage among patients taking ART in diverse South African settings.A cross-sectional study of patients taking ART was conducted in two rural and two urban sub-districts, involving 13 accredited facilities and 1266 participants selected through systematic random sampling. Structured questionnaires were used in interviews, and participant's clinic records were reviewed. Data collected included household assets, healthcare access dimensions (availability, affordability and acceptability), healthcare utilization and pluralism, and laboratory-based outcomes. Multiple logistic regression models were fitted to identify predictors of healthcare pluralism and associations with treatment outcomes. Prior ethical approval and informed consent were obtained.Nineteen percent of respondents reported use of additional healthcare providers over and above their regular ART visits in the prior month. A further 15% of respondents reported additional expenditure on self-care (e.g. special foods). Access to health insurance (Adjusted odds ratio [aOR] 6.15) and disability grants (aOR 1.35) increased plural healthcare use. However, plural healthcare users were more likely to borrow money to finance healthcare (aOR 2.68), and incur catastrophic levels of healthcare expenditure (27%) than non-plural users (7%). Quality of care factors, such as perceived disrespect by staff (aOR 2.07) and lack of privacy (aOR 1.50) increased plural healthcare utilization. Plural healthcare utilization was associated with rural residence (aOR 1.97). Healthcare pluralism was not associated with missed visits or biological outcomes.Increased plural healthcare utilization, inequitably distributed between rural and urban areas, is largely a function of higher socioeconomic status, better ability to finance healthcare and factors related to poor quality of care in ART clinics. Plural healthcare utilization may be an indication of patients' dissatisfaction with perceived quality of ART care provided. Healthcare expenditure of a catastrophic nature remained a persistent complication. Plural healthcare utilization did not appear to influence clinical outcomes. However, there were potential negative impacts on the livelihoods of patients and their households." @default.
• W1974530306 created "2016-06-24" @default.
• W1974530306 creator A5002454753 @default.
• W1974530306 creator A5026677367 @default.
• W1974530306 creator A5031015772 @default.
• W1974530306 creator A5054804786 @default.
• W1974530306 date "2012-07-02" @default.
• W1974530306 modified "2023-10-06" @default.
• W1974530306 title "Factors associated with patterns of plural healthcare utilization among patients taking antiretroviral therapy in rural and urban South Africa: a cross-sectional study" @default.
• W1974530306 cites W1487760132 @default.
• W1974530306 cites W1531725059 @default.
• W1974530306 cites W1569296355 @default.
• W1974530306 cites W1970413671 @default.
• W1974530306 cites W1972501416 @default.
• W1974530306 cites W1974572025 @default.
• W1974530306 cites W1980004891 @default.
• W1974530306 cites W1980940569 @default.
• W1974530306 cites W2001760073 @default.
• W1974530306 cites W2013910594 @default.
• W1974530306 cites W2027554493 @default.
• W1974530306 cites W2032581329 @default.
• W1974530306 cites W2037786112 @default.
• W1974530306 cites W2046518205 @default.
• W1974530306 cites W2051970027 @default.
• W1974530306 cites W2079281604 @default.
• W1974530306 cites W2079946676 @default.
• W1974530306 cites W2094425455 @default.
• W1974530306 cites W2112969721 @default.
• W1974530306 cites W2122050550 @default.
• W1974530306 cites W2125883011 @default.
• W1974530306 cites W2125960530 @default.
• W1974530306 cites W2139894829 @default.
• W1974530306 cites W2152163336 @default.
• W1974530306 cites W2155808426 @default.
• W1974530306 cites W2162391545 @default.
• W1974530306 cites W2164178637 @default.
• W1974530306 cites W2170138433 @default.
• W1974530306 cites W4234567874 @default.
• W1974530306 doi "https://doi.org/10.1186/1472-6963-12-182" @default.
• W1974530306 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/3465179" @default.
• W1974530306 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/22747971" @default.
• W1974530306 hasPublicationYear "2012" @default.
• W1974530306 type Work @default.
• W1974530306 sameAs 1974530306 @default.
• W1974530306 citedByCount "25" @default.
• W1974530306 countsByYear W19745303062013 @default.
• W1974530306 countsByYear W19745303062014 @default.
• W1974530306 countsByYear W19745303062015 @default.
• W1974530306 countsByYear W19745303062016 @default.
• W1974530306 countsByYear W19745303062017 @default.
• W1974530306 countsByYear W19745303062018 @default.
• W1974530306 countsByYear W19745303062019 @default.
• W1974530306 countsByYear W19745303062020 @default.
• W1974530306 countsByYear W19745303062021 @default.
• W1974530306 countsByYear W19745303062022 @default.
• W1974530306 crossrefType "journal-article" @default.
• W1974530306 hasAuthorship W1974530306A5002454753 @default.
• W1974530306 hasAuthorship W1974530306A5026677367 @default.
• W1974530306 hasAuthorship W1974530306A5031015772 @default.
• W1974530306 hasAuthorship W1974530306A5054804786 @default.
• W1974530306 hasBestOaLocation W19745303061 @default.
• W1974530306 hasConcept C137992405 @default.
• W1974530306 hasConcept C138816342 @default.
• W1974530306 hasConcept C142052008 @default.
• W1974530306 hasConcept C142724271 @default.
• W1974530306 hasConcept C145642194 @default.
• W1974530306 hasConcept C159110408 @default.
• W1974530306 hasConcept C160735492 @default.
• W1974530306 hasConcept C162324750 @default.
• W1974530306 hasConcept C2775944032 @default.
• W1974530306 hasConcept C50522688 @default.
• W1974530306 hasConcept C512399662 @default.
• W1974530306 hasConcept C71924100 @default.
• W1974530306 hasConcept C99454951 @default.
• W1974530306 hasConceptScore W1974530306C137992405 @default.
• W1974530306 hasConceptScore W1974530306C138816342 @default.
• W1974530306 hasConceptScore W1974530306C142052008 @default.
• W1974530306 hasConceptScore W1974530306C142724271 @default.
• W1974530306 hasConceptScore W1974530306C145642194 @default.
• W1974530306 hasConceptScore W1974530306C159110408 @default.
• W1974530306 hasConceptScore W1974530306C160735492 @default.
• W1974530306 hasConceptScore W1974530306C162324750 @default.
• W1974530306 hasConceptScore W1974530306C2775944032 @default.
• W1974530306 hasConceptScore W1974530306C50522688 @default.
• W1974530306 hasConceptScore W1974530306C512399662 @default.
• W1974530306 hasConceptScore W1974530306C71924100 @default.
• W1974530306 hasConceptScore W1974530306C99454951 @default.
• W1974530306 hasIssue "1" @default.
• W1974530306 hasLocation W19745303061 @default.
• W1974530306 hasLocation W19745303062 @default.
• W1974530306 hasLocation W19745303063 @default.
• W1974530306 hasLocation W19745303064 @default.
• W1974530306 hasLocation W19745303065 @default.
• W1974530306 hasLocation W19745303066 @default.
• W1974530306 hasOpenAccess W1974530306 @default.
• W1974530306 hasPrimaryLocation W19745303061 @default.
• W1974530306 hasRelatedWork W1971439051 @default.
• W1974530306 hasRelatedWork W2034740892 @default.
• W1974530306 hasRelatedWork W2046591752 @default.
• W1974530306 hasRelatedWork W2073564825 @default.

• next