دورية أكاديمية

Barriers to care among people living with HIV in South Africa: Contrasts between patient and healthcare provider perspectives.

التفاصيل البيبلوغرافية
العنوان: Barriers to care among people living with HIV in South Africa: Contrasts between patient and healthcare provider perspectives.
المؤلفون: Bogart, Laura M., Chetty, Senica, Giddy, Janet, Sypek, Alexis, Sticklor, Laurel, Walensky, Rochelle P., Losina, Elena, Katz, Jeffrey N., Bassett, Ingrid V.
المصدر: AIDS Care; Jul2013, Vol. 25 Issue 7, p843-853, 11p
مصطلحات موضوعية: FOCUS groups, HIV-positive persons, INTERVIEWING, RESEARCH methodology, MEDICAL care, PATIENT satisfaction, PATIENTS, PHYSICIAN-patient relations, RESEARCH funding, JUDGMENT sampling, THEMATIC analysis, INTER-observer reliability, DATA analysis software, PATIENTS' attitudes, PHYSICIANS' attitudes, DESCRIPTIVE statistics
مصطلحات جغرافية: SOUTH Africa
مستخلص: We collected qualitative data (semi-structured interviews with 11 healthcare providers and 10 patients; 8 focus groups with 41 patients) to identify barriers to linkage to care among people living with HIV in South Africa who were not yet taking antiretroviral treatment. Patients and providers identified HIV stigma as a sizable barrier. Patients felt that stigma-related issues were largely beyond their control, fearing discrimination if they disclosed to employers or were seen visiting clinics in their community. Providers believed that patients should take responsibility for overcoming internal stigma and disclosing serostatus. Patients had considerable concerns about inconvenient clinic hours, long queues, difficulty in appointment scheduling, and disrespect from staff. Providers seemed to minimize the effects of such barriers and not recognize the extent of patient dissatisfaction. Better communication and understanding between patients and providers are needed to facilitate greater patient satisfaction and retention in HIV care. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Complementary Index
الوصف
تدمد:09540121
DOI:10.1080/09540121.2012.729808