Economic evaluation of task-shifting approaches to the dispensing of anti-retroviral therapy

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dc.contributor.authorFoster, Nicolaen_ZA
dc.contributor.authorMcIntyre, Dianeen_ZA
dc.date.accessioned2015-11-18T03:56:39Z
dc.date.available2015-11-18T03:56:39Z
dc.date.issued2012en_ZA
dc.description.abstractBACKGROUND:A scarcity of human resources for health has been identified as one of the primary constraints to the scale-up of the provision of Anti-Retroviral Treatment (ART). In South Africa there is a particularly severe lack of pharmacists. The study aims to compare two task-shifting approaches to the dispensing of ART: Indirectly Supervised Pharmacist's Assistants (ISPA) and Nurse-based pharmaceutical care models against the standard of care which involves a pharmacist dispensing ART. METHODS: A cross-sectional mixed methods study design was used. Patient exit interviews, time and motion studies, expert interviews and staff costs were used to conduct a costing from the societal perspective. Six facilities were sampled in the Western Cape province of South Africa, and 230 patient interviews conducted. RESULTS: The ISPA model was found to be the least costly task-shifting pharmaceutical model. However, patients preferred receiving medication from the nurse. This related to a fear of stigma and being identified by virtue of receiving ART at the pharmacy. CONCLUSIONS: While these models are not mutually exclusive, and a variety of pharmaceutical care models will be necessary for scale up, it is useful to consider the impact of implementing these models on the provider, patient access to treatment and difficulties in implementation.en_ZA
dc.identifier.apacitationFoster, N., & McIntyre, D. (2012). Economic evaluation of task-shifting approaches to the dispensing of anti-retroviral therapy. <i>Human Resources for Health</i>, http://hdl.handle.net/11427/15069en_ZA
dc.identifier.chicagocitationFoster, Nicola, and Diane McIntyre "Economic evaluation of task-shifting approaches to the dispensing of anti-retroviral therapy." <i>Human Resources for Health</i> (2012) http://hdl.handle.net/11427/15069en_ZA
dc.identifier.citationFoster, N., & McIntyre, D. (2012). Economic evaluation of task-shifting approaches to the dispensing of anti-retroviral therapy. Hum Resour Health, 10(1), 32.en_ZA
dc.identifier.ris TY - Journal Article AU - Foster, Nicola AU - McIntyre, Diane AB - BACKGROUND:A scarcity of human resources for health has been identified as one of the primary constraints to the scale-up of the provision of Anti-Retroviral Treatment (ART). In South Africa there is a particularly severe lack of pharmacists. The study aims to compare two task-shifting approaches to the dispensing of ART: Indirectly Supervised Pharmacist's Assistants (ISPA) and Nurse-based pharmaceutical care models against the standard of care which involves a pharmacist dispensing ART. METHODS: A cross-sectional mixed methods study design was used. Patient exit interviews, time and motion studies, expert interviews and staff costs were used to conduct a costing from the societal perspective. Six facilities were sampled in the Western Cape province of South Africa, and 230 patient interviews conducted. RESULTS: The ISPA model was found to be the least costly task-shifting pharmaceutical model. However, patients preferred receiving medication from the nurse. This related to a fear of stigma and being identified by virtue of receiving ART at the pharmacy. CONCLUSIONS: While these models are not mutually exclusive, and a variety of pharmaceutical care models will be necessary for scale up, it is useful to consider the impact of implementing these models on the provider, patient access to treatment and difficulties in implementation. DA - 2012 DB - OpenUCT DO - 10.1186/1478-4491-10-32 DP - University of Cape Town J1 - Human Resources for Health LK - https://open.uct.ac.za PB - University of Cape Town PY - 2012 T1 - Economic evaluation of task-shifting approaches to the dispensing of anti-retroviral therapy TI - Economic evaluation of task-shifting approaches to the dispensing of anti-retroviral therapy UR - http://hdl.handle.net/11427/15069 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/15069
dc.identifier.urihttp://dx.doi.org/10.1186/1478-4491-10-32
dc.identifier.vancouvercitationFoster N, McIntyre D. Economic evaluation of task-shifting approaches to the dispensing of anti-retroviral therapy. Human Resources for Health. 2012; http://hdl.handle.net/11427/15069.en_ZA
dc.language.isoengen_ZA
dc.publisherBioMed Central Ltden_ZA
dc.publisher.departmentHealth Economics Uniten_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsThis is an Open Access article distributed under the terms of the Creative Commons Attribution Licenseen_ZA
dc.rights.holder2012 Foster and McIntyre; licensee BioMed Central Ltd.en_ZA
dc.rights.urihttp://creativecommons.org/licenses/by/2.0en_ZA
dc.sourceHuman Resources for Healthen_ZA
dc.source.urihttp://www.human-resources-health.com/en_ZA
dc.subject.otherAnti-Retroviral Treatment (ART)en_ZA
dc.subject.otherhuman resources for healthen_ZA
dc.subject.otherNurse-based pharmaceutical care modelsen_ZA
dc.titleEconomic evaluation of task-shifting approaches to the dispensing of anti-retroviral therapyen_ZA
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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