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báo cáo sinh học:" Agreement between physicians and non-physician clinicians in starting antiretroviral therapy in rural Uganda"

Tuyển tập các báo cáo nghiên cứu về sinh học được đăng trên tạp chí sinh học quốc tế đề tài : Agreement between physicians and non-physician clinicians in starting antiretroviral therapy in rural Uganda | Human Resources for Health BioMed Central Open Access Agreement between physicians and non-physician clinicians in starting antiretroviral therapy in rural Uganda Ashwin Vasan 1 2 3 4 Nathan Kenya-Mugisha3 5 Kwonjune J Seung1 Marion Achieng3 Patrick Banura3 Frank Lule5 Megan Beems2 Jim Todd4 6 and Elizabeth Madraa5 Address Partners In Health Boston Massachusetts USA 2University of Michigan Medical School Ann Arbor Michigan USA 3Masaka Regional Referral Hospital Ministry of Health Masaka Uganda 4London School of Hygiene Tropical Medicine London UK 5National STI AIDS Programme Ministry of Health Kampala Uganda and 6Medical Research Council Entebbe and Masaka Uganda Email Ashwin Vasan - avasan@med.umich.edu Nathan Kenya-Mugisha - nkmugisha@yahoo.com Kwonjune J Seung - kj@seung.com Marion Achieng - achiengm@ug.afro.who.int Patrick Banura - banura2003@yahoo.com Frank Lule - lulef@afro.who.int Megan Beems - mbeems@umich.edu Jim Todd - jim.todd@lshtm.ac.uk Elizabeth Madraa - emadraa@yahoo.com Corresponding author Published 20 August 2009 Received II February 2009 Accepted 20 August 2009 Human Resources for Health 2009 7 75 doi 10.1186 1478-4491-7-75 p g This article is available from http www.human-resources-health.com content 7 I 75 2009 Vasan et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.Org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background The scarcity of physicians in sub-Saharan Africa - particularly in rural clinics staffed only by non-physician health workers - is constraining access to HIV treatment as only they are legally allowed to start antiretroviral therapy in the HIV-positive patient. Here we present a pilot study from Uganda assessing agreement between non-physician clinicians nurses and clinical officers and physicians in their decisions .