Graham James L, Giordano Thomas P, Grimes Richard M, Slomka Jacqueline, Ross Michael, Hwang Lu-Yu
Legacy Community Health Services, Houston, TX, USA.
J Int Assoc Physicians AIDS Care (Chic). 2010 Nov-Dec;9(6):346-52. doi: 10.1177/1545109710380461. Epub 2010 Nov 12.
Delays in accessing HIV health care and failure to adhere to providers' advice are common. Patient trust is critical to an individual's willingness to seek care and follow the physician's advice. Conversely, patient distrust can diminish the patient's health status. The trust literature is reviewed in an attempt to determine its effect on HIV care. In the HIV literature reviewed, greater trust in health care providers was associated with improved accessing of and remaining in care. Interventions to enhance patient trust have been tested, with no changes in the levels of trust being found. Few studies were rigorous enough to assess causality or temporal relation. It is not clear whether there is a causal association between patient trust and HIV health care outcomes. As these relationships are better understood, interventions can be designed to increase health-promoting behaviors.
获得艾滋病病毒医疗服务的延迟以及未能遵循医护人员的建议是常见现象。患者信任对于个人寻求医疗服务并遵循医生建议的意愿至关重要。相反，患者的不信任会损害其健康状况。本文回顾了信任相关文献，试图确定其对艾滋病病毒医疗服务的影响。在所回顾的艾滋病病毒相关文献中，对医护人员更高的信任与更好地获得并持续接受医疗服务相关。已对增强患者信任的干预措施进行了测试，但未发现信任水平有变化。很少有研究足够严谨以评估因果关系或时间关系。尚不清楚患者信任与艾滋病病毒医疗服务结果之间是否存在因果关联。随着对这些关系的进一步了解，可以设计干预措施来增加促进健康的行为。
