Strengthening person-centered care through quality improvement: a mixed-methods study examining implementation of the Person-Centered Care Assessment Tool in Zambian health facilities
Introduction Person-centered care (PCC) is considered a fundamental approach to address clients’ needs. There is a dearth of data on specific actions that HIV treatment providers identify as priorities to strengthen PCC. Objective This study team developed the Person-Centered Care Assessment Tool (P...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2024-12-01
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| Series: | HIV Research & Clinical Practice |
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| Online Access: | http://dx.doi.org/10.1080/25787489.2024.2378585 |
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| author | Amy Casella Adamson Paxon Ndhlovu Jessica E. Posner Lackeby Kawanga Peteria Chan Malia Duffy Caitlin Madevu-Matson Jemmy M. Musangulule |
| author_facet | Amy Casella Adamson Paxon Ndhlovu Jessica E. Posner Lackeby Kawanga Peteria Chan Malia Duffy Caitlin Madevu-Matson Jemmy M. Musangulule |
| author_sort | Amy Casella |
| collection | DOAJ |
| description | Introduction Person-centered care (PCC) is considered a fundamental approach to address clients’ needs. There is a dearth of data on specific actions that HIV treatment providers identify as priorities to strengthen PCC. Objective This study team developed the Person-Centered Care Assessment Tool (PCC-AT), which measures PCC service delivery within HIV treatment settings. The PCC-AT, including subsequent group action planning, was implemented across 29 facilities in Zambia among 173 HIV treatment providers. Mixed-methods study objectives included: (1) identify types of PCC-strengthening activities prioritized based upon low and high PCC-AT scores; (2) identify common themes in PCC implementation challenges and action plan activities by low and high PCC-AT score; and (3) determine differences in priority actions by facility ART clinic volume or geographic type. Methods The study team conducted thematic analysis of action plan data and cross-tabulation queries to observe patterns across themes, PCC-AT scores, and key study variables. Results The qualitative analysis identified 39 themes across 29 action plans. A higher proportion of rural compared to urban facilities identified actions related to stigma and clients’ rights training; accessibility of educational materials and gender-based violence training. A higher proportion of urban and peri-urban compared to rural facilities identified actions related to community-led monitoring. Discussion Findings provide a basis to understand common PCC weaknesses and activities providers perceive as opportunities to strengthen experiences in care. Conclusion To effectively support clients across the care continuum, systematic assessment of PCC services, action planning, continuous quality improvement interventions and re-measurements may be an important approach. |
| format | Article |
| id | doaj-art-fbebcd0821c743529a26542ed8c754c0 |
| institution | Kabale University |
| issn | 2578-7470 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | HIV Research & Clinical Practice |
| spelling | doaj-art-fbebcd0821c743529a26542ed8c754c02025-01-02T11:44:28ZengTaylor & Francis GroupHIV Research & Clinical Practice2578-74702024-12-0125110.1080/25787489.2024.23785852378585Strengthening person-centered care through quality improvement: a mixed-methods study examining implementation of the Person-Centered Care Assessment Tool in Zambian health facilitiesAmy Casella0Adamson Paxon Ndhlovu1Jessica E. Posner2Lackeby Kawanga3Peteria Chan4Malia Duffy5Caitlin Madevu-Matson6Jemmy M. Musangulule7John Snow, IncJohn Snow, IncJohn Snow, IncJohn Snow, IncJohn Snow, IncHealth Across Humanity, LLCJohn Snow, IncJohn Snow, IncIntroduction Person-centered care (PCC) is considered a fundamental approach to address clients’ needs. There is a dearth of data on specific actions that HIV treatment providers identify as priorities to strengthen PCC. Objective This study team developed the Person-Centered Care Assessment Tool (PCC-AT), which measures PCC service delivery within HIV treatment settings. The PCC-AT, including subsequent group action planning, was implemented across 29 facilities in Zambia among 173 HIV treatment providers. Mixed-methods study objectives included: (1) identify types of PCC-strengthening activities prioritized based upon low and high PCC-AT scores; (2) identify common themes in PCC implementation challenges and action plan activities by low and high PCC-AT score; and (3) determine differences in priority actions by facility ART clinic volume or geographic type. Methods The study team conducted thematic analysis of action plan data and cross-tabulation queries to observe patterns across themes, PCC-AT scores, and key study variables. Results The qualitative analysis identified 39 themes across 29 action plans. A higher proportion of rural compared to urban facilities identified actions related to stigma and clients’ rights training; accessibility of educational materials and gender-based violence training. A higher proportion of urban and peri-urban compared to rural facilities identified actions related to community-led monitoring. Discussion Findings provide a basis to understand common PCC weaknesses and activities providers perceive as opportunities to strengthen experiences in care. Conclusion To effectively support clients across the care continuum, systematic assessment of PCC services, action planning, continuous quality improvement interventions and re-measurements may be an important approach.http://dx.doi.org/10.1080/25787489.2024.2378585antiretroviral treatmenthivquality improvementzambiamixed-methodsperson-centered carepeople living with hiv |
| spellingShingle | Amy Casella Adamson Paxon Ndhlovu Jessica E. Posner Lackeby Kawanga Peteria Chan Malia Duffy Caitlin Madevu-Matson Jemmy M. Musangulule Strengthening person-centered care through quality improvement: a mixed-methods study examining implementation of the Person-Centered Care Assessment Tool in Zambian health facilities HIV Research & Clinical Practice antiretroviral treatment hiv quality improvement zambia mixed-methods person-centered care people living with hiv |
| title | Strengthening person-centered care through quality improvement: a mixed-methods study examining implementation of the Person-Centered Care Assessment Tool in Zambian health facilities |
| title_full | Strengthening person-centered care through quality improvement: a mixed-methods study examining implementation of the Person-Centered Care Assessment Tool in Zambian health facilities |
| title_fullStr | Strengthening person-centered care through quality improvement: a mixed-methods study examining implementation of the Person-Centered Care Assessment Tool in Zambian health facilities |
| title_full_unstemmed | Strengthening person-centered care through quality improvement: a mixed-methods study examining implementation of the Person-Centered Care Assessment Tool in Zambian health facilities |
| title_short | Strengthening person-centered care through quality improvement: a mixed-methods study examining implementation of the Person-Centered Care Assessment Tool in Zambian health facilities |
| title_sort | strengthening person centered care through quality improvement a mixed methods study examining implementation of the person centered care assessment tool in zambian health facilities |
| topic | antiretroviral treatment hiv quality improvement zambia mixed-methods person-centered care people living with hiv |
| url | http://dx.doi.org/10.1080/25787489.2024.2378585 |
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