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Challenges for accessing and maintaining good quality of HIV care among men who have sex with men living with HIV in China: a qualitative study with key stakeholders
- Source :
- AIDS Care
- Publication Year :
- 2020
-
Abstract
- HIV care in China is shifting toward a community-based model involving a wide range of stakeholders. We aimed to understand key stakeholders’ perceived challenges of providing high-quality care for men who have sex with men (MSM) living with HIV. In-depth interviews were conducted with a diverse sample of stakeholders (N = 17) in two Chinese cities, including providers, policymakers, and community workers. Interviews focused on stakeholders’ challenges in HIV-related work and perceived barriers for MSM in accessing and maintaining HIV care. Thematic analysis strategies were used. Three cross-cutting themes related to accessibility and quality of care (QoC) emerged. First, MSM- and HIV-related stigma were perceived to increase the risk of MSM dropping out of care. While acknowledging stigma, some providers also expressed discriminatory views such as stereotypes of the MSM community. Second, stakeholders expressed concerns about QoC including healthcare workforce shortages, limited training opportunities, and high work stress while facing increasingly unmet needs from clients. Third, stakeholders shared challenges in mobilizing community resources to expand HIV care including unclear division of responsibility and strict auditing. Supportive policies and resources may be needed to bolster China’s primary care workforce and MSM-competent care and, more broadly, high QoC for sexual and gender minority patients.
- Subjects :
- Gerontology
Adult
Male
China
Community-Based Participatory Research
Health (social science)
Social Psychology
Anti-HIV Agents
Attitude of Health Personnel
media_common.quotation_subject
Health Personnel
Social Stigma
Human immunodeficiency virus (HIV)
HIV Infections
medicine.disease_cause
Health Services Accessibility
Article
Men who have sex with men
Interviews as Topic
03 medical and health sciences
0302 clinical medicine
medicine
Humans
Quality (business)
030212 general & internal medicine
Quality of care
Homosexuality, Male
Qualitative Research
media_common
Quality of Health Care
030505 public health
business.industry
Public Health, Environmental and Occupational Health
Stakeholder
virus diseases
Middle Aged
Key (cryptography)
0305 other medical science
business
Qualitative research
Subjects
Details
- ISSN :
- 13600451
- Volume :
- 32
- Issue :
- sup2
- Database :
- OpenAIRE
- Journal :
- AIDS care
- Accession number :
- edsair.doi.dedup.....cbfab0192630b38feac37201d57ddb4a