Involvement, Perception, and Understanding as Determinants for Patient–Physician Relationship and Their Association with Adherence: A Questionnaire Survey among People Living with HIV and Antiretroviral Therapy in Austria

Beichler, Helmut; Grabovac, Igor; Leichsenring, Birgit; Dörner, Thomas

doi:10.3390/ijerph191610314

Cited by 3 publications

(1 citation statement)

References 60 publications

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“…A positive patient-physician relationship is an essential part in managing HIV because patients who form better relationships with their physicians have been shown to be more adherent to treatment, resulting in better long-term outcomes. 10 A systematic review by Taggart et al identified the benefits and limitations of using social media to communicate HIV prevention and treatment. 11 Social media users discussing HIV are diverse in terms of geographic locations, sexual orientations, ages, genders, races, and socioeconomic status.…”

Section: Introductionmentioning

confidence: 99%

Computer-mediated Communication and Healthcare Satisfaction among Middle-aged Men Living with or without HIV

Xu,

Ware,

Plankey

2024

Georgetown Medical Review

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Introduction Computer-mediated communication has a multifaceted effect on health care satisfaction. This relationship has not been studied among middle-aged men living with HIV. The current study extracted data from the Multicenter AIDS Cohort Study (MACS) to examine the association between computer-mediated communication and health care satisfaction. Methods The MACS is a prospective study of more than 7000 sexual minority men living with and without HIV. The Understanding Patterns of Healthy Aging Among Men Who Have Sex With Men was a substudy of the MACS. Current analyses use cross-sectional data on 1063 participants from this substudy with survey data between October 2017 and March 2018. Patients ranked their top 3 methods for communicating with someone they trust. Latent class analysis was used to create classes of health care satisfaction. Multinomial logistic regression was used to estimate the effect of primary communication method on health care satisfaction class membership. Covariates included age, HIV status, race and ethnicity, education, and comorbidities. Interaction was tested between HIV serostatus and primary communication method. Results Regardless of HIV status, participants preferred in-person communication over computer-mediated communication and were satisfied with the health care they received. Participants who preferred computer-mediated communication were more likely to have low health care satisfaction. There was a statistically nonsignificant association of HIV status with preferred communication method and health care satisfaction. Conclusions We postulated that in-person communication promoted high health care satisfaction due to the process of rewarding face-to-face communication through the exchange of both verbal and nonverbal cues. However, patients’ preference of communication mode may be moderated by the context of consultation.

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Section: Introductionmentioning

confidence: 99%

Computer-mediated Communication and Healthcare Satisfaction among Middle-aged Men Living with or without HIV

Xu,

Ware,

Plankey

2024

Georgetown Medical Review

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Barriers and Facilitators for Implementing Shared Decision Making in Differentiated Antiretroviral Therapy Service in Northwest Ethiopia: Implications for Policy and Practice

Belay,

Yitayal,

Atnafu

et al. 2024

MDM Policy & Practice

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Background. Shared decision making (SDM) for patients enrolling in differentiated antiretroviral therapy (DART) is crucial. Empirical evidence is lacking regarding factors promoting or hindering SDM implementation in DART provision in Ethiopia. Hence, this study aimed to explore the barriers and facilitators to implementing SDM for patients enrolled in DART in Northwest Ethiopia. Methods. A qualitative descriptive study using semi-structured interviews among 17 patients and 15 providers at health facilities providing DART service was conducted. The MAXQDA version 20 software was used for inductive coding. Interviews were analyzed using thematic analysis. Results. Ten themes emerged at 4 levels related to SDM in the provision of DART: patient, provider, organizational, and health system. At the patient level, 1) trust in providers (facilitator) and 2) patient’s level of education (barrier) emerged as themes. At the provider level, 3) lack of familiarity with DART models (barrier) and 4) patient-provider relationship (barrier and facilitator) were emerged themes. At the organizational level, 5) workload (barrier) and 6) resources (barrier and facilitator) emerged as themes. At the health system level, 7) availability of DART models (facilitator), 8) not involving providers while initiating DART models (barrier), 9) other providers’ involvement (facilitator), and 10) presence of other implementing partners (barrier) emerged as themes. Conclusions. Numerous barriers and facilitators influence the implementation of SDM in the provision of DART. Based on these findings, the following steps are recommended. Providing access to patient decision aids shall be in place to assist patients in making decisions about their preferred DART models. Health care workers shall be trained, and patients shall be given education to enhance the SDM process. Policy makers and program managers shall consider the resource context (training and size of human resources and convenience of rooms) for the delivery of ART service to have an appropriate implementation of SDM in clinical practice. Highlights Shared decision making in DART is influenced by various barriers and facilitators present at the patient, provider, organizational, and health system levels. Patients need education, and health care staff need regular training to improve SDM in DART service provision. Patient access to decision support tools that aid in the selection of the preferred DART model in health facilities is critical. Policy makers and program managers shall consider the availability of adequate and trained human resources as well as provide adequate space and private rooms for SDM in the implementation of DART.

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Strategies to improve outcomes of youth experiencing healthcare transition from pediatric to adult HIV care in a large U.S. city

et al. 2023

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Background The healthcare transition (HCT) from pediatric to adult HIV care can be disruptive to HIV care engagement and viral suppression for youth living with HIV (YLH). Methods We performed qualitative interviews with 20 YLH who experienced HCT and with 20 multidisciplinary pediatric and adult HIV clinicians to assess and rank barriers and facilitators to HCT and obtain their perspectives on strategies to improve the HCT process. We used the Exploration Preparation Implementation Sustainment Framework to guide this qualitative inquiry. Results The most impactful barriers identified by YLH and clinicians focused on issues affecting the patient-clinician relationship, including building trust, and accessibility of clinicians. Both groups reported that having to leave the pediatric team was a significant barrier (ranked #1 for clinicians and #2 for YLH). The most impactful facilitator included having a social worker or case manager to navigate the HCT (listed #1 by clinicians and #2 by YLH); case managers were also identified as the individual most suited to support HCT. While YLH reported difficulty building trust with their new clinician as their #1 barrier, they also ranked the trust they ultimately built with a new clinician as their #1 facilitator. Factors reported to bridge pediatric and adult care included providing a warm handoff, medical record transfer, developing relationships between pediatric clinics and a network of youth-friendly adult clinics, and having the pediatric case manager attend the first adult appointment. Longer new patient visits, increased health communication between YLH and clinicians and sharing vetted clinician profiles with YLH were identified as innovative strategies. Conclusion In this multi-disciplinary contextual inquiry, we have identified several determinants that may be targeted to improve HCT for YLH.

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Involvement, Perception, and Understanding as Determinants for Patient–Physician Relationship and Their Association with Adherence: A Questionnaire Survey among People Living with HIV and Antiretroviral Therapy in Austria

Cited by 3 publications

References 60 publications

Computer-mediated Communication and Healthcare Satisfaction among Middle-aged Men Living with or without HIV

Computer-mediated Communication and Healthcare Satisfaction among Middle-aged Men Living with or without HIV

Barriers and Facilitators for Implementing Shared Decision Making in Differentiated Antiretroviral Therapy Service in Northwest Ethiopia: Implications for Policy and Practice

Strategies to improve outcomes of youth experiencing healthcare transition from pediatric to adult HIV care in a large U.S. city

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