EP 755: Infectious Disease Epidemiology - Nurse-Managed Local Primary Health Clinics - Health Assignment Help

Assignment Task :

The following project is based on the following manuscript - Brennan AT, Long L, Maskew M, Sanne I, Jaffray I, MacPhail P, Fox MP. Outcomes of stable HIV-positive patients down-referred from a doctor-managed antiretroviral therapy clinic to a nurse-managed primary health clinic for monitoring and treatment. AIDS. 2011 Oct 23;25(16):2027-36. 

South Africa’s National Department of Health began decentralizing care of stable HIV-positive patients initiated and managed by doctors at higher levels of the health care system, to smaller health facilities employing nurse-managed care. In 2007, the Themba Lethu HIV Clinic (TLC) in Johannesburg, South Africa implemented a ‘down-referral’ system to transfer stable patients from the doctor-managed clinic where they initiated care (TLC) to nurse-managed local primary health clinics (PHC) for continued monitoring and treatment. At the time this analysis was done, nearly 2,000 patients had been down-referred from TLC, however, treatment outcomes amongst these patients have yet to be evaluated. This study compared one-year treatment outcomes amongst individuals down-referred for treatment maintenance at a nurse-managed PHC to patient’s eligible for down-referral who remained at the doctor-managed treatment-initiation site in Johannesburg, South Africa.

 
Part I: Basic coding and creating of Table 1 to display clinical and demographic characteristics  :

1. The file “downref.xls.” is de-identified data from the original analysis. The variables and corresponding description are in Table 1 below. You will need to create new variables from existing ones highlighted in grey in the table  . 

2. Create a baseline table (Table 1), stratified by down referral status (exposed). The variables stared (*) in the table above should be included in Table 1.  

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