Barriers to care among people living with HIV in South Africa: contrasts between patient and healthcare provider perspectives.
Barriers to care among people living with HIV in South Africa: contrasts between patient and healthcare provider perspectives.
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DOI：
10.1080/09540121.2012.729808
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发表时间：
2013
期刊：
影响因子：
1.7
通讯作者：
Bassett IV
中科院分区：
文献类型：
--
作者：
Bogart LM;Chetty S;Giddy J;Sypek A;Sticklor L;Walensky RP;Losina E;Katz JN;Bassett IV
我们收集了定性数据（与11名医疗保健提供者和10名患者的半结构化访谈; 8个焦点小组，41名患者），以确定南非尚未接受抗逆转录病毒治疗的艾滋病毒感染者与护理联系的障碍。患者和提供者认为艾滋病毒污名是一个相当大的障碍。病人认为，与耻辱有关的问题在很大程度上超出了他们的控制范围，担心如果他们向雇主透露或被看到去社区的诊所，他们会受到歧视。提供者认为，病人应该承担责任，克服内部耻辱和披露血清状态。患者对门诊时间不方便、排长队、预约时间安排困难以及工作人员不尊重等问题相当担忧。提供者似乎尽量减少这种障碍的影响，并没有认识到病人的不满程度。患者和提供者之间需要更好的沟通和理解，以提高患者的满意度，并保持对艾滋病毒的护理。
We collected qualitative data (semi-structured interviews with 11 healthcare providers and 10 patients; 8 focus groups with 41 patients) to identify barriers to linkage to care among people living with HIV in South Africa who were not yet taking antiretroviral treatment. Patients and providers identified HIV stigma as a sizable barrier. Patients felt that stigma-related issues were largely beyond their control, fearing discrimination if they disclosed to employers or were seen visiting clinics in their community. Providers believed that patients should take responsibility for overcoming internal stigma and disclosing serostatus. Patients had considerable concerns about inconvenient clinic hours, long queues, difficulty in appointment scheduling, and disrespect from staff. Providers seemed to minimize the effects of such barriers and not recognize the extent of patient dissatisfaction. Better communication and understanding between patients and providers is needed to facilitate greater patient satisfaction and retention in HIV care.
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影响因子：
3.7
作者：
Losina E;Bassett IV;Giddy J;Chetty S;Regan S;Walensky RP;Ross D;Scott CA;Uhler LM;Katz JN;Holst H;Freedberg KA
通讯作者：
Freedberg KA
DOI：
10.1097/qad.0b013e3283313e83
发表时间：
2010-01-02
期刊：
AIDS (London, England)
影响因子：
--
作者：
Li L;Liang LJ;Lin C;Wu Z;Rotheram-Borus MJ;NIMH Collaborative HIV/STD Prevention Trial Group
通讯作者：
NIMH Collaborative HIV/STD Prevention Trial Group
DOI：
10.1097/01.aids.0000366081.91192.1c
发表时间：
2010-01
期刊：
AIDS (London, England)
影响因子：
--
作者：
Bassett IV;Regan S;Chetty S;Giddy J;Uhler LM;Holst H;Ross D;Katz JN;Walensky RP;Freedberg KA;Losina E
通讯作者：
Losina E
影响因子：
5.4
作者：
Tanser, Frank;Gijsbertsen, Brice;Herbst, Kobus
通讯作者：
Herbst, Kobus
影响因子：
3
作者：
Bassett, I. V.;Chetty, S.;Walensky, R. P.
通讯作者：
Walensky, R. P.