提高赞比亚卢萨卡HIV治疗诊所ART处方政策依从性的质量改进干预：一项集群随机试验

数据集获取（Figshare）

• 源站标题：Quality improvement intervention to increase adherence to ART prescription policy at HIV treatment clinics in Lusaka, Zambia: A cluster randomized trial
• DOI：10.1371/journal.pone.0175534
• 发布日期：2017-04-18
• 文件数：8 个
• 文件总体积：3.18 MB
• 源站页面：https://plos.figshare.com/articles/dataset/Quality_improvement_intervention_to_increase_adherence_to_ART_prescription_policy_at_HIV_treatment_clinics_in_Lusaka_Zambia_A_cluster_randomized_trial/4885706

命令行下载

curl -L -o "S1 File.pdf" "https://ndownloader.figshare.com/files/8215358"
curl -L -o "S2 File.docx" "https://ndownloader.figshare.com/files/8215376"
curl -L -o "S3 File.xlsx" "https://ndownloader.figshare.com/files/8215388"
curl -L -o "S4 File.docx" "https://ndownloader.figshare.com/files/8215421"
curl -L -o "S5 File.docx" "https://ndownloader.figshare.com/files/8215436"
curl -L -o "S1 Protocol.pdf" "https://ndownloader.figshare.com/files/8215454"
curl -L -o "S2 Protocol.pdf" "https://ndownloader.figshare.com/files/8215460"
curl -L -o "S1 Checklist.doc" "https://ndownloader.figshare.com/files/8215487"

文件清单

• S1 File.pdf（316.08 KB）
• S2 File.docx（20.83 KB）
• S3 File.xlsx（20.62 KB）
• S4 File.docx（115.47 KB）
• S5 File.docx（93.57 KB）
• S1 Protocol.pdf（1.24 MB）
• S2 Protocol.pdf（1.15 MB）
• S1 Checklist.doc（223.74 KB）

文件总体积 3.18 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 urban areas, crowded HIV treatment facilities with long patient wait times can deter patients from attending their clinical appointments and picking up their medications, ultimately disrupting patient care and compromising patient retention and adherence.
Methods
Formative research at eight facilities in Lusaka revealed that only 46% of stable HIV treatment patients were receiving a three-month refill supply of antiretroviral drugs, despite it being national policy for stable adult patients. We designed a quality improvement intervention to improve the operationalization of this policy. We conducted a cluster-randomized controlled trial in sixteen facilities in Lusaka with the primary objective of examining the intervention’s impact on the proportion of stable patients receiving three-month refills. The secondary objective was examining whether the quality improvement intervention reduced facility congestion measured through two proxy indicators: daily volume of clinic visits and average clinic wait times for services.
Results
The mean change in the proportion of three-month refills among control facilities from baseline to endline was 10% (from 38% to 48%), compared to a 25% mean change (an increase from 44% to 69%) among intervention facilities. This represents a significant 15% mean difference (95% CI: 2%-29%; P = 0.03) in the change in proportion of patients receiving three-month refills. On average, control facilities had 15 more visits per day in the endline than in the baseline, while intervention facilities had 20 fewer visits per day in endline than in baseline, a mean difference of 35 fewer visits per day (P = 0.1). The change in the mean facility total wait time for intervention facilities dropped 19 minutes between baseline and endline when compared to control facilities (95% CI: -10.2–48.5; P = 0.2).
Conclusion
A more patient-centred service delivery schedule of three-month prescription refills for stable patients is viable. We encourage the expansion of this sustainable intervention in Zambia’s urban clinics.

许可

CC BY 4.0

引用

学术使用请引用 DOI 10.1371/journal.pone.0175534（source: https://plos.figshare.com/articles/dataset/Quality_improvement_intervention_to_increase_adherence_to_ART_prescription_policy_at_HIV_treatment_clinics_in_Lusaka_Zambia_A_cluster_randomized_trial/4885706）。