Introduction: While the care of HIV-positive patients, including the detection and management of comorbidities, has historically been provided in HIV specialist outpatient clinics, recent years have seen a greater involvement of non-HIV specialists and general practitioners (GPs). The aim of this study is to determine whether patients would prefer to see their GP or HIV physician given general symptoms, and to understand what aspects of care influence their preferences.udMethods/analysis: We have developed and piloted a discrete choice experiment (DCE) to better understand patients’ preferences for care of non-HIV-related acute symptoms. The design of the DCE was informed by our exploratory research, including the findings of a systematic literature review and a qualitative study. Additional questionnaire items have been included to measure demographics, service use and experience of non HIV illnesses and quality of life (EQ5D). We plan to recruit 1000 patients from 14 HIV clinics across South East England. Data will be analysed using random-effects logistic regression and latent class analysis. ORs and 95% CIs will be used to estimate the relative importance of each of the attribute levels. Latent class analysis will identify whether particular groups of people value the service attribute levels differently. Ethics/dissemination: Ethical approval for this study was obtained from the Newcastle and North Tyneside Research Ethics Committee (reference number 14/NE/1193. The results will be disseminated at national and international conferences and peer-reviewed publications. A study report, written in plain English, will be made available to all participants. The Patient Advisory Group will develop a strategy for wider dissemination of the findings to patients and the public.
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机译:简介:虽然历史上一直在HIV专科门诊提供艾滋病毒阳性患者的护理,包括合并症的检测和管理,但近年来,非HIV专科医生和全科医生(GP)的参与度有所提高。这项研究的目的是确定患者是否愿意看普通科医生或HIV医师的一般症状,并了解哪些护理方面会影响他们的喜好。 ud方法/分析:我们已经开发并试行了离散选择实验(DCE ),以更好地了解患者对于非HIV相关急性症状的治疗偏好。 DCE的设计基于我们的探索性研究,包括系统文献综述和定性研究的结果。还包括其他问卷调查项目,以衡量人口统计资料,服务使用情况以及非HIV疾病的经验和生活质量(EQ5D)。我们计划从英格兰东南部的14个HIV诊所招募1000名患者。将使用随机效应逻辑回归和潜在类别分析来分析数据。 OR和95%CI将用于估计每个属性级别的相对重要性。潜在类别分析将确定特定人群是否对服务属性级别有所不同。伦理/传播:本研究的伦理批准已获得纽卡斯尔和北泰恩赛德研究伦理委员会的批准(参考编号14 / NE / 1193。研究结果将在国内和国际会议及同行评审的出版物中进行传播。研究报告,书面形式)所有参会者将获得通俗易懂的英文版本,患者咨询小组将制定一项策略,将研究结果广泛传播给患者和公众。
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