Strengthening Health Human Resources and Improving Clinical Outcomes Through an Integrated Guideline and Educational Outreach in Resource-Poor Settings: A Cluster-Randomized Trial
Schull, Michael J
Trials 2010 December 3; 11: 118
In low-income countries, only about a third of Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome (HIV/AIDS) patients eligible for anti-retroviral treatment currently receive it. Providing decentralized treatment close to where patients live is crucial to a faster scale up, however, a key obstacle is limited health system capacity due to a shortage of trained health-care workers and challenges of integrating HIV/AIDS care with other primary care services (e.g. tuberculosis, malaria, respiratory conditions). This study will test an adapted primary care health care worker training and guideline intervention, Practical Approach to Lung Health and HIV/AIDS Malawi (PALM PLUS), on staff retention and satisfaction, and quality of patient care.
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McRae, Andrew D; Weijer, Charles; Binik, Ariella; White, Angela; Grimshaw, Jeremy M; Boruch, Robert; Brehaut, Jamie C; Donner, Allan; Eccles, Martin P; Saginur, Raphael; Zwarenstein, Merrick; Taljaard, Monica (2011-07-26)This article is part of a series of papers examining ethical issues in cluster randomized trials (CRTs) in health research. In the introductory paper in this series, we set out six areas of inquiry that must be addressed ...
Binik, Ariella; Weijer, Charles; McRae, Andrew D; Grimshaw, Jeremy M; Boruch, Robert; Brehaut, Jamie C; Donner, Allan; Eccles, Martin P; Saginur, Raphael; Taljaard, Monica; Zwarenstein, Merrick (2011-05-11)This article is part of a series of papers examining ethical issues in cluster randomized trials (CRTs) in health research. In the introductory paper in this series, Weijer and colleagues set out six areas of inquiry that ...
Weijer, Charles; Grimshaw, Jeremy M; Taljaard, Monica; Binik, Ariella; Boruch, Robert; Brehaut, Jamie C; Donner, Allan; Eccles, Martin P; Gallo, Antonio; McRae, Andrew D; Saginur, Raphael; Zwarenstein, Merrick (2011-04-20)The cluster randomized trial (CRT) is used increasingly in knowledge translation research, quality improvement research, community based intervention studies, public health research, and research in developing countries. ...