RESEARCH PAPER
Evaluation of healthcare usage rate in HIV/AIDS patients in Isfahan, Iran in 2018
1
Department of Community Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
2
Isfahan Provincial Health Center, The Communicable Diseases Control Group, HIV/AIDS Unit, Isfahan University of Medical Sciences, Isfahan, Iran
Submission date: 2019-02-26
Final revision date: 2019-07-02
Acceptance date: 2019-07-02
Publication date: 2020-03-09
HIV & AIDS Review 2020;19(1):34-38
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Universal health coverage (UHC) was introduced in Iran in 2014. The aim of this study was to evaluate the usage rate of health services by human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) patients after UHC implementation.
Material and methods:
In 2018, in a cross-sectional study, we evaluated the outpatients’ needs (within its previous month) and inpatients’ needs (within its previous 6 months) of HIV/AIDS patients in Isfahan province (the center of Iran). Concurrently, we estimated the essential health care services that HIV/AIDS patients have to receive regularly, including vaccination for hepatitis B, measurement of CD4, tuberculosis (TB) assessments and TB treatment, anti-retroviral therapy, examination of viral load, treatment approach, and drug side effects counseling. Two checklists were used for assessing the utilization of health services and essential health cares for HIV/AIDS patients, validated by the Ministry of Health and Medical Education of Iran. Data were analyzed by χ2 test, Pearson’s correlation coefficient, and Spearman’s correlation test.
Results:
Two hundred and thirteen HIV/AIDS patients completed the questionnaires. The mean age of participants was 41.14 ± 9.23. The outpatient service utilization rate was 31.94% in the previous month and the rate of hospitalization was 126 per 1,000 HIV/AIDS patients in the previous 6 months. The majority of HIV/AIDS patients received essential health services more often than the national standard goals estimation.
Conclusions:
After UHC implementation, the utilization rate of outpatients and inpatients services in HIV/AIDS patients was more than similar indices in the general population. In addition, HIV/AIDS patients received essential health services adequately.
Universal health coverage (UHC) was introduced in Iran in 2014. The aim of this study was to evaluate the usage rate of health services by human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) patients after UHC implementation.
Material and methods:
In 2018, in a cross-sectional study, we evaluated the outpatients’ needs (within its previous month) and inpatients’ needs (within its previous 6 months) of HIV/AIDS patients in Isfahan province (the center of Iran). Concurrently, we estimated the essential health care services that HIV/AIDS patients have to receive regularly, including vaccination for hepatitis B, measurement of CD4, tuberculosis (TB) assessments and TB treatment, anti-retroviral therapy, examination of viral load, treatment approach, and drug side effects counseling. Two checklists were used for assessing the utilization of health services and essential health cares for HIV/AIDS patients, validated by the Ministry of Health and Medical Education of Iran. Data were analyzed by χ2 test, Pearson’s correlation coefficient, and Spearman’s correlation test.
Results:
Two hundred and thirteen HIV/AIDS patients completed the questionnaires. The mean age of participants was 41.14 ± 9.23. The outpatient service utilization rate was 31.94% in the previous month and the rate of hospitalization was 126 per 1,000 HIV/AIDS patients in the previous 6 months. The majority of HIV/AIDS patients received essential health services more often than the national standard goals estimation.
Conclusions:
After UHC implementation, the utilization rate of outpatients and inpatients services in HIV/AIDS patients was more than similar indices in the general population. In addition, HIV/AIDS patients received essential health services adequately.
REFERENCES (19)
4.
Fourth National Strategic Control of HIV/AIDS, Islamic Republic of Iran, 2015 to 2019. Iran, 2015.
6.
Jamshidi HR, Naghavi M, Jafari N, et al. Utilization of Healthcare Services in Iran in Year 2002. Tandis Publications, Tehran 2005.
7.
Moradi G, Mohraz M, Gouya MM, et al. Health needs of people living with HIV/AIDS: from the perspective of policy makers, physicians and consultants, and people living with HIV/AIDS. Iran J Public Health 2014; 43: 1424-1435.
8.
Khuat TH, Do TT, Nguyen VAT, et al. The dark side of female HIV patient care: sexual and reproductive health risks in pre- and post-clinical treatments. J Clin Med 2018; 7: e402.
9.
Ghanizadeh A, Arkan N, Mohammadi MR, Ghanizadeh-Zarchi MA, Ahmadi J. Frequency of and barriers to utilization of mental health services in an Iranian population. East Mediterr Health J 2008; 14: 438-446.
10.
Dombrowski JC, Simoni JM, Katz DA, Golden MR. Barriers to HIV care and treatment among participants in a public health HIV care relinkage program. AIDS Patient Care STDS 2015; 29: 279-287.
11.
Fakoya I, Álvarez-Del Arco D, Monge S, et al. HIV testing history and access to treatment among migrants living with HIV in Europe. J Int AIDS Soc 2018; 21 Suppl 4: e25123.
12.
Laisaar K, Raag M, Lutsar I, Uusküla A. People living with HIV in Estonia: engagement in HIV care in 2013. Euro Surveill 2016; 21: 30380.
13.
Rashidian A, Joudaki H, Khodayari-Moez E, Omranikhoo H, Geraili B, Arab M. The impact of rural health system reform on hospitalization rates in the Islamic Republic of Iran: an interrupted time series. Bull World Health Organ 2013; 91: 942-949.
14.
Hassanzadeh J, Mohammadbeigi A, Eshrati B, Rezaianzadeh A, Rajaeefard A. Determinants of inequity in health care services utilization in Markazi Province of Iran. Iran Red Crescent Med J 2013; 15: 363-370.
15.
Ezat-Abadi MR, Rejalian F, Yarmohammadian MH, Ismail K, Mofid M, Atashbahar O. Differentiation socioeconomic factors affecting utilization of health services during accidents in Isfahan in 2012. Int J Health Syst Disaster Manage 2013; 1: 163-166.
16.
Esmailnasab N, Hassanzadeh J, Rezaeian S, Barkhordari M. Use of health care services and associated factors among women. Iran J Public Health 2014; 43: 70-78.
17.
Doroh VR, Hatam N, Jafari A, Kafashi S, Kavosi Z. Determinants of outpatient services utilization in Shiraz, 2012. J Community Med Health Educ 2013; 3: 1-3.
18.
Yaghoobi H, Ahmadiniya H, Shabani Z, Vazirinejad R, Zolfizadeh F, Rezaeian M. Epidemiological investigation of patients with HIV/AIDS in Bandar Abbas Behavioral Disorders Counseling Center during 2005-2015. J Rafsanjan Univ Med Sci 2018; 16: 969-982.
19.
Westergaard RP, Ambrose BK, Mehta SH, Kirk GD. Provider and clinic-level correlates of deferring antiretroviral therapy for people who inject drugs: a survey of North American HIV providers. J Int AIDS Soc 2012; 15: 10.
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