坦桑尼亚生殖与儿童保健诊所中预约系统改善抗逆转录病毒治疗依从性的分组随机试验

数据集获取（Figshare）

• 源站标题：A group randomized trial using an appointment system to improve adherence to ART at reproductive and child health clinics implementing Option B+ in Tanzania
• DOI：10.1371/journal.pone.0184591
• 发布日期：2017-09-28
• 文件数：4 个
• 文件总体积：1.71 MB
• 源站页面：https://plos.figshare.com/articles/dataset/A_group_randomized_trial_using_an_appointment_system_to_improve_adherence_to_ART_at_reproductive_and_child_health_clinics_implementing_Option_B_in_Tanzania/5451829

命令行下载

curl -L -o "pone.0184591.s001.docx" "https://ndownloader.figshare.com/files/9427285"
curl -L -o "pone.0184591.s002.tif" "https://ndownloader.figshare.com/files/9427294"
curl -L -o "pone.0184591.s003.docx" "https://ndownloader.figshare.com/files/9427297"
curl -L -o "pone.0184591.s004.docx" "https://ndownloader.figshare.com/files/9427303"

文件清单

• pone.0184591.s001.docx（99.50 KB）
• pone.0184591.s002.tif（930.24 KB）
• pone.0184591.s003.docx（159.53 KB）
• pone.0184591.s004.docx（519.81 KB）

文件总体积 1.71 MB（源站 API 实测）。

数据加载示例（图像类）

from PIL import Image
import glob, os

files = (glob.glob(os.path.join(path, "**", "*.png"), recursive=True)
       + glob.glob(os.path.join(path, "**", "*.jpg"), recursive=True)
       + glob.glob(os.path.join(path, "**", "*.tif"), recursive=True))
print("图像文件数:", len(files))
img = Image.open(files[0]); print("尺寸/模式:", img.size, img.mode)

# torchvision Dataset 方式:
# from torchvision import datasets
# ds = datasets.ImageFolder(path)  # 要求 子目录=类别

目录组织与标注格式以源站说明和下载后实际文件为准。

数据说明

Introduction
In October 2013, Tanzania adopted Option B+ under which HIV-positive pregnant women are initiated on antiretroviral therapy in reproductive and child health clinics at diagnosis. Studies have shown that adherence and retention to antiretroviral treatment can be problematic.
Methods
We implemented a group randomized controlled trial in 24 reproductive and child health clinics in eight districts in Mbeya region. The trial tested the impact of implementing paper-based appointment tracking and community outreach systems on the rate of missed appointments and number of days covered by dispensed antiretroviral medications among women previously established on antiretroviral therapy. We used interrupted time series analysis to assess study outcomes. Clinic staff and patients in intervention clinics were aware of the intervention because of change in clinic procedures; data collectors knew the study group assignment.
Results
Three months pre-intervention, we identified 1924 and 1226 patients established on antiretroviral therapy for six months or more in intervention and control clinics, respectively, of whom 83.4% and 86.9% had one or more post-intervention visits. The unadjusted rate of missed visits declined from 36.5% to 34.4% in intervention clinics and increased from 38.9% to 45.5% in control clinics following the intervention. Interrupted time series analyses demonstrated a net decrease of 13.7% (95% CI [-15.4,-12.1]) for missed visits at six months post-intervention. Similar differential changes were observed for visits missed by 3, 7, 15, or 60 days.
Conclusion
Appointment-tracking and community outreach significantly improved appointment-keeping for women on antiretroviral therapy. The facility staff controlled their workload better, identified missing patients rapidly, and worked with existing community organizations. There is now enough evidence to scale up this approach to all antiretroviral therapy and Option B+ reproductive and child health clinics in Tanzania as well as to evaluate the intervention in medical clinics that treat other chronic health conditions.
Trial registration
Registry for International Development Impact Evaluations ID-55

许可

CC BY 4.0

引用

学术使用请引用 DOI 10.1371/journal.pone.0184591（source: https://plos.figshare.com/articles/dataset/A_group_randomized_trial_using_an_appointment_system_to_improve_adherence_to_ART_at_reproductive_and_child_health_clinics_implementing_Option_B_in_Tanzania/5451829）。