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Perspectives of Chronic Disease Management Among Persons with HIV: A Qualitative Study
INTRODUCTION: 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. METHODS: We conducted in-depth...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Dove
2021
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7812046/ https://www.ncbi.nlm.nih.gov/pubmed/33469274 http://dx.doi.org/10.2147/PPA.S287325 |
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author | Mkumba, Laura Muiruri, Charles Garg, Keva Watt, Melissa H Okeke, Nwora Lance |
author_facet | Mkumba, Laura Muiruri, Charles Garg, Keva Watt, Melissa H Okeke, Nwora Lance |
author_sort | Mkumba, Laura |
collection | PubMed |
description | INTRODUCTION: 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. METHODS: 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. RESULTS: 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. CONCLUSION: 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. |
format | Online Article Text |
id | pubmed-7812046 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Dove |
record_format | MEDLINE/PubMed |
spelling | pubmed-78120462021-01-18 Perspectives of Chronic Disease Management Among Persons with HIV: A Qualitative Study Mkumba, Laura Muiruri, Charles Garg, Keva Watt, Melissa H Okeke, Nwora Lance Patient Prefer Adherence Original Research INTRODUCTION: 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. METHODS: 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. RESULTS: 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. CONCLUSION: 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. Dove 2021-01-13 /pmc/articles/PMC7812046/ /pubmed/33469274 http://dx.doi.org/10.2147/PPA.S287325 Text en © 2021 Mkumba et al. http://creativecommons.org/licenses/by-nc/3.0/ This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). |
spellingShingle | Original Research Mkumba, Laura Muiruri, Charles Garg, Keva Watt, Melissa H Okeke, Nwora Lance Perspectives of Chronic Disease Management Among Persons with HIV: A Qualitative Study |
title | Perspectives of Chronic Disease Management Among Persons with HIV: A Qualitative Study |
title_full | Perspectives of Chronic Disease Management Among Persons with HIV: A Qualitative Study |
title_fullStr | Perspectives of Chronic Disease Management Among Persons with HIV: A Qualitative Study |
title_full_unstemmed | Perspectives of Chronic Disease Management Among Persons with HIV: A Qualitative Study |
title_short | Perspectives of Chronic Disease Management Among Persons with HIV: A Qualitative Study |
title_sort | perspectives of chronic disease management among persons with hiv: a qualitative study |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7812046/ https://www.ncbi.nlm.nih.gov/pubmed/33469274 http://dx.doi.org/10.2147/PPA.S287325 |
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