Provider perspectives on the role of the patient as an active participant in HIV care
| Autor: | Jennifer Knight, Regina Kamene, Catherine Kafu, Paula Braitstein, Ira B. Wilson, Becky L. Genberg, Juddy Wachira, Beatrice Koech |
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| Rok vydání: | 2020 |
| Předmět: |
Referral
Attitude of Health Personnel Health Personnel Psychological intervention Human immunodeficiency virus (HIV) HIV Infections medicine.disease_cause Article World health Paternalism 03 medical and health sciences 0302 clinical medicine Nursing Health care medicine Humans 030212 general & internal medicine Qualitative Research Swahili 030505 public health business.industry Public Health Environmental and Occupational Health language.human_language language Patient Participation 0305 other medical science business Psychology Qualitative research |
| Zdroj: | Glob Public Health |
| ISSN: | 1744-1706 1744-1692 |
| DOI: | 10.1080/17441692.2020.1830296 |
| Popis: | PURPOSE: The World Health Organization (WHO) advocates for patients to play an active role in their healthcare in order to improve the quality of care delivery. However, there is limited research on provider perceptions of the role of the patient during a medical encounter in an HIV setting in Sub-Saharan Africa. METHODS: This qualitative study was conducted between September 2014 and August 2015. Sixty healthcare providers were recruited using convenience sampling methods from three sites (Moi Teaching and Referral Hospital, Webuye, and Busia) within the Academic Model Providing Access to Healthcare (AMPATH) HIV care and treatment program. In-depth interviews were conducted in either Swahili or English, transcribed, and translated if necessary into English. Data was analyzed thematically. RESULTS: Provider expectations were mainly influenced by their professional role. Despite this variance, providers expect patients to communicate openly during their clinical encounters. Overall, there was a shift in provider expectations of the patient from a traditional paternalistic role to a more active role. CONCLUSION: This study provides valuable insight into provider expectations of patients during medical encounters in HIV settings. Findings from this study may contribute to developing appropriate interventions for providers as well as to design patient empowerment initiatives. |
| Databáze: | OpenAIRE |
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