Comparison of satisfaction with care between two different models of HIV care delivery in St. Petersburg, Russia

A. Suvorova; Belyakov A.; Makhamatova A.; Ustinov A.; Levina O.; Tulupyev A.; Niccolai L.; Rassokhin V.; Heimer R.

doi:10.1080/09540121.2015.1054337

Publications

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Comparison of satisfaction with care between two different models of HIV care delivery in St. Petersburg, Russia

AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV. 2015. Vol. 27. No. 10. P. 1309–1316.

Suvorova A., Belyakov A., Makhamatova A., Ustinov A., Levina O., Tulupyev A., Niccolai L., Rassokhin V., Heimer R.

Prior to 2010, medical care for people living with HIV/AIDS was provided at an outpatient facility near the center of St. Petersburg. Since then, HIV specialty clinics have been established in more outlying regions of the city. The study examined the effect of this decentralization of HIV care on patients' satisfaction with care in clinics of St. Petersburg, Russia. We conducted a cross-sectional study with 418 HIV-positive patients receiving care at the St. Petersburg AIDS Center or at District Infectious Disease Departments (centralized and decentralized models, respectively). Face-to-face interviews included questions about psychosocial characteristics, patient's satisfaction with care, and clinic-related patient experience. Abstraction of medical records provided information on patients' viral load. To compare centralized and decentralized models of care delivery, we performed bivariate and multivariate analysis. Clients of District Infectious Disease Departments spent less time in lines and traveling to reach the clinic, and they had stronger relationships with their doctor. The overall satisfaction with care was high, with 86% of the sample reporting high level of satisfaction. Nevertheless, satisfaction with care was strongly and positively associated with the decentralized model of care and Patient-Doctor Relationship Score. Patient experience elements such as waiting time, travel time, and number of services used were not significant factors related to satisfaction. Given the positive association of satisfaction with decentralized service delivery, it is worth exploring decentralization as one way of improving healthcare services for people living with HIV/AIDS.

Research target: Mathematics Basic Medicine Health Studies

Priority areas: business informatics

Language: English

DOI

Keywords: децентрализация decentralization HIV/AIDS клиентская удовлетворенность ВИЧ/СПИД models of care patient experience satisfaction with care опыт пациента модели оказания помощи

Моментные оценки для стохастической аппроксимации

Naumov A., Рубцов А. С., Samsonov S. et al., Успехи математических наук 2026 Т. 81 № 4 (490) С. 161–162

Краткое сообщение рассматривает Моментные оценки для стохастической аппроксимации ...

Added: October 17, 2026

An infinite series of Gorenstein local algebras failing the affine homogeneity property

Avdeev R., Zaitseva Y., Mediterranean Journal of Mathematics 2026 Vol. 23 No. 7 Article 224

We provide an infinite series of commutative finite-dimensional Gorenstein local algebras A_n for n ≥ 2. We give an elementary proof that the maximal ideal of every algebra A_n possesses a one-dimensional subspace that is different from the socle and invariant under the automorphism group of A_n. The latter implies that the algebras A_n fail ...

Added: October 17, 2026

Turbulent Exchange Tensor in the Atmospheric Boundary Layer: An Inverse-Problem Approach Using Radiosonde Wind Observations with High Vertical Resolution

Gordin V. A., Efremenko D., Boundary-Layer Meteorology 2026 Vol. 192 No. 51

An inverse problem of reconstructing the turbulent exchange tensor from large archives of observed wind profiles within the Åkerblom–Ekman (A-E) model framework is investigated using high-vertical-resolution radiosonde observations. The reconstructed tensor provides improved agreement between modeled and observed wind profiles compared to classical formulations based on real turbulent exchange coefficient. Instead of the classical A-E ...

Added: October 16, 2026

Diversity of chaos with additional zero Lyapunov exponents in heterogeneous ensemble of quasi-periodic and chaotic systems

Kuznetsov A. P., Sedova Y. V., Stankevich N., Chaos, Solitons and Fractals 2026 Vol. 213 No. 12 Article 119309

We analyze the interaction of a quasi-periodic subsystem, in which two-, three-, and four- frequency quasi-periodic oscillations are possible, with a chaotic subsystem. A discrete version is obtained via the Euler scheme from the corresponding flow model. The dynamics of individual subsystems are discussed, including quasi-periodic bifurcations of invariant tori and the occur rence of ...

Added: October 16, 2026

Политика в отношении абортов и оценка их распространенности в мире и в России

Sakevich V. I., Демографическое обозрение 2026 Т. 13 № 3 С. 4–28

The article analyzes modern legislation regarding artificial termination of pregnancy in countries around the world. Depending on the grounds on which abortion is permitted, five groups of countries are distinguished. Estimates have shown that about 60% of women of reproductive age live in countries with liberal legislation, where abortion is allowed at the request of ...

Added: October 15, 2026

Household environmental management practices, community engagement, and self-reported malaria incidence in urban and rural communities of Malawi

Lungu M. M., Davitadze A., Frontiers in Public Health 2026 Vol. 14 Article 1919768

Malaria control in Malawi relies primarily on long-lasting insecticide-treated nets (LLITNs) and indoor residual spraying (IRS), but transmission remains heterogeneous across districts. Previous research indicates that community-based environmental management strategies, such as routine drainage maintenance, vegetation removal, and effective household waste disposal, may reduce environmental conditions conducive to malaria vector proliferation. This study investigated the ...

Added: October 15, 2026

A Reproducible Microscopy Acquisition Pipeline and Microscopy-Aware Attention for Classification, Detection, and Segmentation of Microorganisms

Aleksei Samarin, Nazarenko A., Nazarenko D. et al., Machine Learning and Knowledge Extraction 2026 Vol. 8 No. 10 Article 330

Automated microscopic image analysis is essential for quantitative microbiology, yet manual acquisition and generic recognition models struggle with morphological variability and scene artifacts. We address both ends of this pipeline. First, we present a low-cost, open-source acquisition system, based on an Arduino UNO R3 microcontroller and NEMA 17 stepper motors, that automates focusing, magnification, and ...

Added: October 14, 2026

On Calculation of Robustness and Stability of Formal Concepts Based on Delta Measure

Parkhomenko V., Kulikova S., Buzmakov A. V., Lobachevskii Journal of Mathematics 2026 Vol. 47 No. 6 P. 2979–2992

The stability of formal concepts and its generalization as robustness are considered in the paper. We use an approximation of stability in the form of Δ-measure for fast calculations. A computationally efficient method for calculating robustness based on subcontexts is presented. We also present a new method to analytically evaluate the number of preimages for ...

Added: October 14, 2026

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Kuznetsov A. P., Sedova Y. V., Sataev I. R. et al., Mathematics and Computers in Simulation 2027 Vol. 2 P. 574–592

Universal bifurcation structures on the parameter plane of nonlinear systems, known as shrimps, are discussed. An overview of numerous examples from various fields of science is given. Shrimps are typical for both maps of different dimensions and flows. The varieties of shrimp are discussed and relevant examples are given. The similarity property on the parameter ...

Added: October 14, 2026

Poincaré series of valuations on functions over a subfield of complex numbers

Gusein-Zade S., Campillo A., Delgado F., Mathematische Zeitschrift 2026 Vol. 314 No. 1 P. 1–22

For a subfield $\K$ of the field $\C$ of complex numbers, we consider curve and divisorial valuations on the algebra $\K[[x,y]]$ of formal power series in two variables with the coefficients in $\K$. We compute the semigroup Poincar\'e series and the classical Poincar\'e series of a (discrete, rank one) valuation on it. ...

Added: October 13, 2026

Wave scattering by a sloping beach of an arbitrary angle. Revisited: regular solution

Mishuris G., Meylan M. H., Pelinovsky E., Journal of Fluid Mechanics 2026 Vol. 1045 Article A4

In this paper, we revisit the classic problem of a wave field on a sloping beach of an arbitrary angle and propose a general approach that allows the computation of regular solutions of the problem regardless of the angle. We use the Mellin-transform technique, reducing the problem to singular integral equations with fixed-point singularities of ...

Added: October 12, 2026

Дифференциальная геометрия и топология. Курс лекций

Gusein-Zade S., М.: МЦНМО, 2026.

Книга содержит курс лекций по дифференциальной геометрии и топологии, читавшихся автором на механико-математическом факультете МГУ в разные годы. В дополнениях приводятся некоторые сюжеты (связности в расслоениях, теорема Фробениуса, производные Ли и др.), которые были включены в курс в отдельные годы либо содержались в аналогичных курсах лекций в Независимом московском университете. Для студентов математических и физических специальностей. ...

Added: October 12, 2026

О воспроизводимости анализа временных рядов на основе матричных профилей

Брычков М. Е., Незнанов А.А., Программирование 2026 № 4 С. 50–66

The matrix profile (MP) quickly became one of the most important time series preprocessing methods when it was introduced in 2016, facilitating the solution of a wide range of time series analysis problems, in particular anomaly and pattern detection problems. The high significance has led to the emergence of various tools for MP calculating, but ...

Added: October 9, 2026

Теория вероятностей и математическая статистика. Олимпиадные задачи

М.: Юрайт, 2026.

The Collection of Olympiad Problems (COP) in Probability Theory and Mathematical Statistics (PTMS) is offered as a teaching aid primarily for university students and faculty as a developmental supplementary resource, expanding the range of problems to be solved in lectures, seminars, and out-of-class independent work with students in various formats, including (as the title suggests) ...

Added: October 9, 2026

Человеко-машинная система анализа и улучшения качества условий проживания населения

Aleskerov F. T., Вайншток А. П., Делахова А. М. et al., Информационные процессы 2026 Т. 26 № 3 С. 895–913

The development and effective management of territorial entities are priority issues for all states, particularly in the context of the digital transformation of public administration. Over the past decade, the integration of information technologies into municipal and regional planning has significantly altered approaches to strategic development, service delivery, and public engagement. This paper describes the ...

Added: October 9, 2026

Linear dependencies, polynomial factors in the Duke–Erdős forbidden sunflower problem

Kupavskii A., Noskov F., Forum of Mathematics, Sigma 2026 Vol. 14 Article 124

We call a family of $s$ sets $\{F_1, \ldots, F_s\}$ a sunflower with $s$ petals if, for any distinct $i, j \in [s]$, one has $F_i \cap F_j = \cap_{u = 1}^s F_u$. The set $C = \cap_{u = 1}^s F_u$ is called the {\it core} of the sunflower. It is a classical result of ...

Added: October 8, 2026

Modulational Instability and Wave Dynamics in the Rotated Modified Gardner–Whitham Equation

Flamarion M. V., Pelinovsky E., Chaos, Solitons and Fractals 2026 Vol. 213 No. 2 Article 119245

This article concerns the study of modulational instability in the rotated-modified Gardner–Whitham (rmGW) equation. This model incorporates both quadratic and cubic nonlinearities, similarly to the Gardner equation, while also retaining the fully dispersive character of the Whitham equation together with a large-scale dispersive term analogous to that in the Ostrovsky equation. Using a classical multiple-scale asymptotic expansion, we ...

Added: October 8, 2026

Автоматизированное построение математических теорий

Люксембург А. А., УРСС, 2005.

Изучается возможность автоматизированного построения математических теорий. Рассматривается дедуктивная система, основанная на языке логики предикатов первого порядка, объектами системы являются математические выражения или формулы, которые описывают математические объекты или их свойства. В дедуктивной системе выводятся математические определения и теоремы. Для доказательства теорем используются методы автоматического доказательства. Разработан алгоритм, выводящий часть формул системы. Для решения задачи используется аппарат математической ...

Added: October 7, 2026

Decision support system for improving the quality of life of the population

Aleskerov F. T., Chaika E., Дерендяев А. Б. et al., Procedia Computer Science 2026 No. 287 P. 590–595

Under conditions of dynamic socio-economic changes, effective planning and decision-making are key factors in ensuring a high quality of life for the population in territories. This paper presents a decision support system for territorial administrations for the development and implementation of sustainable development strategies, using one of the regions of the Russian Federation – the ...

Added: October 7, 2026

Банки и экосистемы

Бровкина Н. Е., Терновская Е. П., Мешкова Е. И. et al., В кн.: Банк в современной экономикеКн. Банк в современной экономике.: М.: КноРус, 2026. С. 127–147.

Banks are the central link in the national financial market and the economy as a whole. The share of bank assets in the asset structure of the Russian financial market, despite a slight decline, remains dominant relative to other participants, reaching 80%. Russian banks are multifaceted. On the one hand, they provide working capital financing, long-term ...

Added: September 3, 2026

Творение из ничего: дискуссии о федерализации в Республике Чад

Захаров А. А., Issaev L., Полис. Политические исследования 2026 № 4 С. 152–169

В статье анализируется вопрос о том, почему Республика Чад, вопреки предрасположенности к федеративному устройству – в силу своей расовой, языковой, этнической и религиозной разобщенности, - до сих пор остается унитарным государством. Соответственно, целью исследования выступает выявление причин, которые мешают этой африканской стране задействовать потенциал федерализма, позволяющий – по меньшей мере, теоретически, - умиротворять и гармонизировать ...

Added: July 15, 2026

Сравнительный анализ централизованной и децентрализованной структуры управления транспортными системами

Фандюшин М. В., Вестник юридических исследований 2025 Т. 4 № 4 С. 49–55

The article is dedicated to a comparative analysis of centralized, decentralized, and hybrid management structures for transportation systems, with a focus on their applicability in the Russian Federation over the long term up to 2050. The aim of the study is to identify the most effective management model to overcome historical lag and ensure sustainable ...

Added: May 14, 2026

Децентрализация правовых процессов как черта шляхетского абсолютизма

Katkova M., В кн.: Парадигма права в контексте современного развития юридической науки и практики.: Гродно: ГрГУ, 2026. С. 93–97.

The article is based on the analysis of the lauda adopted by the Vyshnia szlachta in 1573. Using the example of Lauda, the decentralization trends in the legal system of the First Polish-Lithuanian Commonwealth are considered. Also applying the Lauda, the szlachta’s lawmaking and the szlachta’s legal culture are studied, and the understanding of the ...

Added: March 10, 2026

Центр-региональные отношения в Италии в свете категориальной рефлексии, исторического опыта и испытания пандемией COVID-19. Международные процессы. 2022;20(1):6-37. https://doi.org/10.17994/IT.2022.20.1.68.6

Gaman-Golutvina O. V., Дудаева М., Международные процессы 2022 Т. 20 № 1 С. 6–37

The article examines the impact of the Covid-19 pandemic on the development of center-regional relations on the example of the Italian Republic. The pandemic has become a serious test of the effectiveness and strength of interaction between central governments and regions, and analysis of the socio-political results of almost two years of the difficult test ...

Added: March 10, 2026