Year: 2020
Type: article
Abstract: Patient loyalty is the continuous commitment and engagement in care where patients can improve and sustain quality of life through continuous use of medical care. Identifying strengths and weaknesses in providing excellent quality care is a key measure of success of healthcare professionals and hospital management. However, few studies have examined patient loyalty from a strategic leadership perspective within HIV health care systems. The purpose of this study is to determine how patient loyalty to HIV care is influenced by multiple factors in a healthcare system environment. The study employs a mixed-methods approach guided by the complexity theory and the theory of planned behavior. A total of 444 surveys with (50 healthcare providers and 394 adult HIV-infected patients) currently on antiretroviral drugs, as well as 22 in-depth interviews with healthcare providers will be conducted. The study will be done at AMPATH Eldoret Kenya. We will use stratified proportionate and census sampling methods to select study participants for the survey while purposive and convenient sampling techniques will be used for in-depth interviews. Structured questionnaires and interviewer guides will guide data collection. Quantitative data analysis will entail hierarchical regression to test direct effects while multiple regression will test the mediation effects using the Hayes PROCESS Model No.6 in SPSS. Qualitative data analysis will be conducted using a thematic analytical method.
Source: Open Research Africa
Institutions: Moi University, Aix-Marseille Université, Makerere University
Language: English
Domain: Social Sciences
Open Access status: hybrid
Funders: Carnegie Corporation of New York, Styrelsen för Internationellt Utvecklingssamarbete, Wellcome Trust, Government of the United Kingdom, Deutscher Akademischer Austauschdienst, New Partnership for Africa's Development, African Population and Health Research Center, African Academy of Sciences, Alliance for Accelerating Excellence in Science in Africa
Awards: G123861907, G131356462, G165858427, G1879544889, G1974015855, G2025417787, G2616461257, G3342582295, G3399693352, G35167842, G3639086947, G3860705625, Consortium for Advanced Research Training in Africa+ (CARTA+), G4326355804, G4330659229, G4709786132, G5983382732, G6265712692, G6445368145, G6646813353, G6934978824, G7146663558, G7515722644, G7531548847, G7938902035, CARTA/APHRC support 2017-2023, G8580928051
OpenAlex ID: W3084487716
