How Do Treatment Priorities Differ Between Patients in HIV Care and Their Providers? A Mixed-Methods Study

被引：16

作者：

Fredericksen, Rob J. ^{[1
,8
]}

Fitzsimmons, Emma ^{[1
]}

Gibbons, Laura E. ^{[1
]}

Loo, Stephanie ^{[2
]}

Dougherty, Sarah ^{[3
]}

Avendano-Soto, Sonia ^{[4
]}

Anderson, Will A. ^{[3
]}

Gutierrez, Cristina ^{[2
]}

Shurbaji, Sally ^{[3
]}

Burleson, Savannah ^{[3
]}

Christopoulos, Katerina ^{[5
]}

Poceta, Joanna ^{[5
]}

Mayer, Kenneth H. ^{[2
]}

Mugavero, Michael J. ^{[6
]}

Mathews, William C. ^{[7
]}

Crane, Paul K. ^{[1
]}

Crane, Heidi M. ^{[1
]}

机构：

[1] Univ Washington, Dept Med, Seattle, WA 98195 USA

[2] Fenway Community Hlth, Boston, MA USA

[3] Univ Alabama Birmingham, Clin 1917, Birmingham, AL USA

[4] Univ Calif San Diego, Owen Clin, La Jolla, CA 92093 USA

[5] Univ Calif San Francisco, Dept Med, San Francisco, CA 94143 USA

[6] Univ Alabama Birmingham, Dept Med, Birmingham, AL 35294 USA

[7] Univ Calif San Diego, Dept Med, La Jolla, CA 92093 USA

[8] Harborview Med Ctr, UW Ctr AIDS Res, 325 Ninth Ave,Box 359931, Seattle, WA 98104 USA

来源：

AIDS AND BEHAVIOR | 2020年 / 24卷 / 04期

关键词：

HIV care; Patient-provider communication; Patient reported outcomes; REPORTED OUTCOMES; CENTERED CARE; PROGRESS; SYSTEM; TIME; RISK;

D O I：

10.1007/s10461-019-02746-8

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Evidence suggests priorities differ between patients in HIV care and their providers regarding topics most important to address in care. At five U.S. sites, we asked patients and providers to prioritize 25 potential topic areas to address during routine visits, and invited patients to discuss selection rationale. Patients (n = 206) and providers (n = 17) showed high discordance in rank order priorities (X-2 (24, 223) = 71.12; p < 0.0001). Patients ranked social domains such as HIV stigma highly; a higher proportion of providers prioritized substance use domains. HIV stigma was a higher priority for patients in care fewer than 6 years (Fisher's exact p = 0.0062), nonwhite patients (Fisher's exact p = 0.0114), and younger patients (Fisher's exact p = 0.0281). Patients' priorities differed between men and women (X-2 (24, 188) = 52.89; p < 0.0001), white race vs. other races (X-2 (24, 206) = 48.32; p = 0.0023), and Latinos vs. non-Latinos (X-2 (24, 206) = 48.65; p = 0.0021). Interviews (n = 79) revealed perceived impact of social context on health and health behaviors.

引用

页码：1170 / 1180

页数：11

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