Treatment Outcomes and Cost-Effectiveness of Shifting Management of Stable ART Patients to Nurses in South Africa: An Observational Cohort

By  Dr. Lawrence Long  Alana Brennan  Dr. Matthew Fox  Buyiswa Ndibongo   Imogen Jaffray  Professor Ian Sanne  Professor Sydney Rosen  |  | 

To address human resource and infrastructure shortages, resource-constrained countries are being encouraged to shift HIV care to lesser trained care providers and lower level health care facilities. This study evaluated the cost effectiveness of down-referring stable antiretroviral therapy (ART) patients from a doctor-managed, hospital-based ART clinic to a nurse-managed primary health care facility in Johannesburg, South Africa.

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