TY - JOUR
T1 - Provider perspectives on the role of the patient as an active participant in HIV care
AU - Kafu, Catherine
AU - Wachira, Juddy
AU - Braitstein, Paula
AU - Wilson, Ira
AU - Koech, Beatrice
AU - Kamene, Regina
AU - Knight, Jennifer
AU - Genberg, Becky
N1 - Funding Information:
This work was supported by the National Institute of Mental Health [grant number K01MH099966]. This research has been supported by the President's Emergency Plan for AIDS Relief (PEPFAR) through USAID under the terms of Cooperative Agreement No. AID-623-A-12- 0001, and the National Institute of Mental Health [grant number K01MH099966, PI: Genberg]. It is made possible through joint support of the United States Agency for International Development (USAID). The authors would like to thank all the study participants for taking part in the study. We would also like to acknowledge the research assistants, data managers, administrative and clerical staff, for enabling the management, interpretation and publication of these data. We are also grateful to the AMPATH clinical and administrative staff, for their dedication in caring for patients, and their attentiveness in accurately recording their patients’ data. The contents of this are the sole responsibility of AMPATH and do not necessarily reflect the views of USAID or the United States Government.
Publisher Copyright:
© 2020 Informa UK Limited, trading as Taylor & Francis Group.
PY - 2021
Y1 - 2021
N2 - 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.
AB - 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.
KW - HIV care
KW - Patient role
KW - provider perspective
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U2 - 10.1080/17441692.2020.1830296
DO - 10.1080/17441692.2020.1830296
M3 - Article
C2 - 33019854
AN - SCOPUS:85092172815
SN - 1744-1692
VL - 16
SP - 1645
EP - 1655
JO - Global public health
JF - Global public health
IS - 10
ER -