Perspectives of Chronic Disease Management Among Persons with HIV: A Qualitative Study.
Perspectives of Chronic Disease Management Among Persons with HIV: A Qualitative Study.
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DOI：
10.2147/ppa.s287325
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发表时间：
2021
影响因子：
2.2
通讯作者：
Okeke NL
中科院分区：
文献类型：
--
作者：
Mkumba L;Muiruri C;Garg K;Watt MH;Okeke NL
艾滋病毒感染者 (PWH) 由于抗逆转录病毒治疗而活到高龄。这些流行病学变化凸显了创新感染者长期护理服务的重要性，但有关患者对慢性护理服务偏好的研究有限。我们对在杜克传染病诊所接受护理的 20 名感染者进行了深入采访。手稿经过编码，我们使用主题分析来从受访者的回答中识别新出现的主题。访谈的深入分析表明，感染者与艾滋病毒提供者之间有很强的亲和力，因此依赖他们提供初级保健。参与者还表示强烈倾向于从单一提供者那里接受非传染性疾病护理，无论他们目前的慢性病护理配置如何。参与者还表示愿意接受非提供者艾滋病毒诊所工作人员在慢性病护理中的新角色。总体而言，艾滋病毒感染者更喜欢将他们的护理整合并集中在同一地点，并且愿意忍受轻微的不便来适应这种偏好。有必要努力促进初级保健纳入艾滋病毒诊所。
Persons with HIV (PWH) are living to advanced age as a result of ART. These epidemiological changes highlight the importance of innovating chronic care delivery of PWH, but there is limited research regarding patient preferences for chronic care delivery. We conducted in-depth interviews of 20 PWH who receive care at the Duke Infectious Diseases Clinic. Manuscript was coded and we used thematic analysis to identify emerging themes from interviewees’ responses. Insights of the interviews revealed a strong affinity of PWH with their HIV providers and a reliance on them for primary care as a result. Participants also expressed a strong preference for receiving NCD care from a single provider, regardless of their current chronic disease care configuration. Participants also stated a willingness to embrace new roles of non-provider HIV clinic staff in their chronic disease care. Overall, persons living with HIV prefer consolidation and co-location of their care, and are willing to endure minor inconveniences to accommodate this preference. Efforts towards promoting primary care integration into HIV clinics are warranted.