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Hospital vs community care: a Romanian perspective
E A Glasper1, L Robertson, S Watkin
1University of Southampton's School of Nursing and Midwifery.
British Journal of Nursing (Mark Allen Publishing)
|November 27, 1998
Summary
An independent audit revealed that community-based care for children with human immunodeficiency virus (HIV) in Romania surpasses hospital care. This finding highlights the effectiveness of community support for pediatric HIV patients.
Area of Science:
- Pediatrics
- Infectious Diseases
- Public Health
Background:
- Two Romanian charities providing financial support for children with human immunodeficiency virus (HIV) initiated an audit in 1997.
- The audit focused on care for children living with HIV in both hospital and community settings within Romania.
Purpose of the Study:
- To independently assess the quality of care for children with HIV in Romania.
- To collaborate with Romanian healthcare professionals in developing a user-friendly audit tool.
- To audit care provision and report findings for hospital and community settings.
Main Methods:
- An independent team of healthcare professionals conducted the audit.
- A newly developed, simple audit tool was utilized across various child care settings.
- Care provision in hospital and community home settings was systematically evaluated.
Main Results:
- The audit demonstrated that community-based care for children with HIV in Romania is superior to hospital care.
- Children with HIV in community settings received better care compared to those in a tertiary hospital.
Conclusions:
- Community care models for children with HIV in Romania are highly effective.
- Findings suggest a need to further support and potentially expand community-based care initiatives for pediatric HIV patients.