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Patient profiles as organizing HIV clinicians' ART adherence management: a qualitative analysis
- Source :
- AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV, AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV, 2018, 30 (2), pp.207-210. ⟨10.1080/09540121.2017.1360995⟩
- Publication Year :
- 2017
-
Abstract
- The effectiveness of antiretroviral therapy (ART) depends on optimal clinical management and patient adherence. Little is known about patient characteristics that clinicians consider in the management of ART adherence. Exploring this issue, five focus groups were conducted with 31 HIV-clinicians from across France. A qualitative typological analysis suggests that clinician management of patient adherence is based on characteristics that coalesce into seven patient profiles. For the "passive" patient, described as taking ART exactly as prescribed without questioning their doctor's expertise, a directive and simple management style was preferred. The "misleading" patient is characterized as concerned with social desirability and as reporting no adherence difficulties for fear of displeasing their doctor. If clinical outcomes are suboptimal, the clinicians' strategy is to remind them of the importance of open patient-clinician communication. The "stoic" patient is described as requesting and adequately taking the most potent ART available. Here, clinicians emphasize assessment of side effects, which the patient may minimize. The "hedonistic" patient's festive lifestyle and sexual risk-taking are seen as compromising adherence; with them, clinicians stress the patient's responsibility for their own health and that of their sexual partners. The "obsessive" patient is portrayed as having an irrational fear of ART failure and an inability to distinguish illusory from genuine adherence barriers. With this patient, clinicians seek to identify the latter. The "overburdened" patient is recognized as coping with life priorities that interfere with adherence and, with them, a forgiving ART is favored. The "underprivileged" patient is presented as having limited education, income and housing. In this case, clinicians seek to improve the patient's living conditions and access to care. These results shed light on HIV clinicians' ART adherence management. The value of these profiles for HIV care and patients should be investigated.
- Subjects :
- Adult
Male
medicine.medical_specialty
Health (social science)
Psychotherapist
Social Psychology
[SDV]Life Sciences [q-bio]
Sexual Behavior
Human immunodeficiency virus (HIV)
Patient characteristics
HIV Infections
medicine.disease_cause
Medication Adherence
03 medical and health sciences
0302 clinical medicine
Qualitative analysis
Risk-Taking
Antiretroviral Therapy, Highly Active
Physicians
medicine
Humans
030212 general & internal medicine
Qualitative Research
Social desirability
Physician-Patient Relations
business.industry
030503 health policy & services
Communication
Public Health, Environmental and Occupational Health
Management styles
Focus Groups
Focus group
Antiretroviral therapy
Art adherence
3. Good health
[SDV] Life Sciences [q-bio]
Sexual Partners
Anti-Retroviral Agents
Socioeconomic Factors
Family medicine
Female
France
0305 other medical science
business
Subjects
Details
- ISSN :
- 13600451
- Volume :
- 30
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- AIDS care
- Accession number :
- edsair.doi.dedup.....40d7d1ba2c63b2056763362fb53a8537
- Full Text :
- https://doi.org/10.1080/09540121.2017.1360995⟩