Academic Model Providing Access to Healthcare (AMPATH) Partnership, Eldoret, Kenya.
Department of Behavioral Sciences, School of Medicine, Moi University, Eldoret, Kenya.
Glob Public Health. 2021 Oct;16(10):1645-1655. doi: 10.1080/17441692.2020.1830296. Epub 2020 Oct 6.
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. 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 analysed thematically. 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. 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.
世界卫生组织（WHO）倡导患者在医疗保健中发挥积极作用，以提高护理质量。然而，在撒哈拉以南非洲的艾滋病毒环境中，关于提供者对患者在医疗接触中作用的看法的研究有限。这项定性研究于 2014 年 9 月至 2015 年 8 月间进行。采用便利抽样方法，从学术模式提供医疗保健（AMPATH）艾滋病毒护理和治疗方案的三个地点（莫伊教学和转诊医院、韦布uye 和布西亚）招募了 60 名医疗服务提供者。以斯瓦希里语或英语进行深入访谈，如果需要，将其转录并翻译成英语。对数据进行了主题分析。提供者的期望主要受其专业角色的影响。尽管存在这种差异，但提供者期望患者在临床接触时能够坦诚沟通。总的来说，提供者对患者的期望从传统的家长式角色转变为更积极的角色。这项研究深入了解了提供者在艾滋病毒环境中医疗接触时对患者的期望。这项研究的结果可能有助于为提供者制定适当的干预措施，并设计患者赋权举措。
