The Perspective of HIV Providers in Western Kenya on Provider-Patient Relationships
| Autor: | Ira B. Wilson, Becky L. Genberg, Jacqueline Akinyi, Michael Barton Laws, Catherine Kafu, Regina K. Owino, Paula Braitstein, Beatrice Koech, Juddy Wachira |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Health (social science) Attitude of Health Personnel 030231 tropical medicine Human immunodeficiency virus (HIV) HIV Infections Library and Information Sciences medicine.disease_cause Health Services Accessibility Article Interviews as Topic 03 medical and health sciences 0302 clinical medicine medicine Humans 030212 general & internal medicine Qualitative Research Physician-Patient Relations business.industry Communication Perspective (graphical) Public Health Environmental and Occupational Health Antiretroviral therapy Kenya Family medicine Key (cryptography) Hiv patients Female business |
| Zdroj: | Journal of health communication. 23(6) |
| ISSN: | 1087-0415 |
| Popis: | Enhancing effective adherence dialogue with HIV patients in an environment that promotes good provider-patient relationships, is key to optimizing the benefits of antiretroviral therapy (ART). The study examines the perspectives of HIV providers in western Kenya on provider-patient relationships. Sixty healthcare providers were sampled using convenience sampling methods from three Academic Model for Providing Access to Healthcare (AMPATH) sites (one urban and two rural). In-depth interviews conducted in either Swahili or English were audio recorded, transcribed, and translated into English. Content analysis was performed after thematic coding. Providers perceived that they had good relationships with most patients, and tended to identify negative patient attributes as the source of poor provider-patient relationships. Providers preferred patients who adhered to treatment guidelines. They did not like patients who challenged their authority, and did not see it as their responsibility to find more effective ways of interacting with patients who they found difficult. Structural barriers to collaborative physician-patient relationships included noncontinuity of relationships, lack of specific appointment times, high provider-patient ratio, and management of provider fatigue and job dissatisfaction. There is need for HIV care programs to identify culturally appropriate interventions to enhance better provider-patient relationship. |
| Databáze: | OpenAIRE |
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