School of Medicine, College of Health Sciences, 130188Moi University Eldoret, Kenya.
School of Literature, Language and Media, 208666University of Witwatersrand, Johannesburg, South Africa.
J Int Assoc Provid AIDS Care. 2021 Jan-Dec;20:23259582211054935. doi: 10.1177/23259582211054935.
Provider-patient communication (PPC) skills are key in promoting patient satisfaction. Our study examined the relationship between clinician PPC skills and patient satisfaction with care among virally unsuppressed adult HIV patients in Busia County, Kenya. This cross-sectional study was conducted among 360 HIV patients on first line antiretroviral regimen and having a recent viral load ≥400 copies HIV RNA/ml. We conducted logistic regression analysis. The mean age of participants was 48.2 years [standard deviation (SD): 12.05]. Overall, the mean score on clinician PPC skills was 33.3 (SD: 9.0). A high proportion (85%) of participants reported satisfaction with the HIV care services. After adjusting for covariates, the odds of being satisfied with care increased by 19% (adjusted odds ratio: 1.19, 95% CI: 1.11-1.30) for every one unit increase in the clinician PPC skills score. Promoting good PPC skills may be key to improving patient satisfaction with HIV care.
医患沟通（PPC）技巧是提高患者满意度的关键。我们的研究考察了肯尼亚布西亚县未抑制病毒的成年艾滋病毒患者中临床医生 PPC 技巧与患者对护理满意度之间的关系。这项横断面研究在 360 名接受一线抗逆转录病毒方案治疗且最近病毒载量≥400 拷贝 HIV RNA/ml 的艾滋病毒患者中进行。我们进行了逻辑回归分析。参与者的平均年龄为 48.2 岁（标准差[SD]：12.05）。总体而言，临床医生 PPC 技能的平均得分为 33.3（SD：9.0）。很大比例（85%）的参与者对艾滋病毒护理服务表示满意。在调整了协变量后，临床医生 PPC 技能评分每增加一个单位，对护理服务满意的可能性增加 19%（调整后的优势比[OR]：1.19，95%置信区间[CI]：1.11-1.30）。提高良好的 PPC 技巧可能是提高患者对艾滋病毒护理满意度的关键。
