HIV感染者慢性病管理的观点：一项定性研究。
Perspectives of Chronic Disease Management Among Persons with HIV: A Qualitative Study.
作者信息
Mkumba Laura, Muiruri Charles, Garg Keva, Watt Melissa H, Okeke Nwora Lance
机构信息
FHI360, Durham, NC, USA.
Department of Population Health Sciences, Duke University, Durham, NC, USA.
出版信息
Patient Prefer Adherence. 2021 Jan 13;15:49-55. doi: 10.2147/PPA.S287325. eCollection 2021.
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.
引言
由于抗逆转录病毒治疗（ART），艾滋病毒感染者（PWH）的寿命延长至高龄。这些流行病学变化凸显了创新艾滋病毒感染者慢性护理服务的重要性，但关于患者对慢性护理服务偏好的研究有限。
方法
我们对在杜克传染病诊所接受治疗的20名艾滋病毒感染者进行了深入访谈。对手稿进行编码，并使用主题分析从受访者的回答中识别出新兴主题。
结果
访谈结果显示，艾滋病毒感染者与他们的艾滋病毒治疗提供者关系密切，并因此依赖他们提供初级保健。参与者还强烈倾向于由单一提供者提供非传染性疾病（NCD）护理，无论他们目前的慢性病护理配置如何。参与者还表示愿意接受艾滋病毒诊所非提供者工作人员在其慢性病护理中的新角色。
结论
总体而言，艾滋病毒感染者更喜欢整合和集中他们的护理，并愿意忍受一些小不便来满足这一偏好。有必要努力促进将初级保健纳入艾滋病毒诊所。
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