Barriers and facilitators to engagement in HIV clinical care in the Deep South: results from semi-structured patient interviews.
Barriers and facilitators to engagement in HIV clinical care in the Deep South: results from semi-structured patient interviews.
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DOI：
10.1016/j.jana.2010.06.002
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发表时间：
2011-03
影响因子：
2
通讯作者：
Henderson, Harold M.
中科院分区：
文献类型：
--
作者：
Konkle-Parker, Deborah J.;Amico, K. Rivet;Henderson, Harold M.
延迟接受艾滋病毒临床护理和护理保留率低与发病率和死亡率增加有关。为了确定延迟后最终进入艾滋病毒护理和/或在间隔6个月或更长时间后返回护理的患者的原因，在南方腹地的一个诊所环境中进行了130次半结构化访谈，内容涉及迅速进入和持续艾滋病毒临床护理的障碍和促进者；对回答进行了编码和量化分析。障碍/促进者被定位在个人和结构性障碍/促进者和否认的上级类别中。进入护理的个人障碍超过了结构性障碍，74%的样本报告了否认。保留护理的障碍更平均地分布在个人障碍和结构障碍之间，其中24%的障碍是拒绝。由于基于否认的障碍的发生率很高，这一障碍的作用及其解决办法应该进一步探讨。
Delayed entry into HIV clinical care and poor retention in care has been associated with increased morbidity and mortality. To characterize the reasons for patients who eventually did enter HIV care after a delay and/or returned to care after a gap of 6 or more months, 130 semi-structured interviews about barriers to and facilitators for prompt entry into and sustained HIV clinical care were conducted in a clinic setting in the Deep South; responses were coded and analyzed quantitatively. Barriers/facilitators were positioned within superordinate categories of personal and structural barriers/facilitators and denial. Personal barriers to entry into care outweighed structural barriers, with denial reported by 74% of the sample. Barriers to retention in care were more evenly distributed between personal and structural barriers, with denial a barrier for 24%. Because of the high incidence of denial-based barriers, the role of this barrier and its resolution should be explored further.
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DOI：
10.1080/713612410
发表时间：
1998-06-01
影响因子：
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作者：
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