文章基本信息

标题：Perspectives of Chronic Disease Management Among Persons with HIV: A Qualitative Study
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作者：Laura Mkumba ; Charles Muiruri ; Keva Garg 等
期刊名称：Patient Preference and Adherence
印刷版ISSN：1177-889X
电子版ISSN：1177-889X
出版年度：2021
卷号：Volume 15
页码：49-55
DOI：10.2147/PPA.S287325
出版社：Dove Medical Press Ltd
摘要：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. © 2021 Mkumba et al.
关键词：chronic disease management;non-communicable diseases;patient perspectives;primary care