Exploration of Adherence Clubs as a Model of Care for Patients: a Literature Review
Abstract:
The
basis of outcomes assessment in epidemiology provides a framework for analyzing
and understanding potential relationships between outcomes and medical
interventions. Adherence clubs are a community and facility based intervention
that is targeted at decongesting health facility, improving quality of care and
retaining patients on ART and chronic medication. The study sought to model the
relationship between health outcomes and the implementation of the adherence
clubs. A literature review was conducted on the internal and external factors
that generally influence health outcomes among adherence club patients. Due to
the limited literature on adherence clubs patients, general patient related
health outcome literature was used in the construction of the model. Common
themes were grouped into broad categories to map out the model. The study shows
that there are individual, economic, social, and environmental factors that
generally influence health outcomes among patients. Furthermore, these are
likely to be the leading elements to improved health outcomes among adherence
club members.
Keywords:
differentiated models of care, adherence clubs, health outcomes, chronic
patients, antiretroviral
therapy, HIV, health facility,
decongestion
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