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- Title
If someone cares about you, you are more apt to come around: improving HIV care engagement by strengthening the patient–provider relationship.
- Authors
Wood, Troy J; Koester, Kimberly A; Christopoulos, Katerina A; Sauceda, John A; Neilands, Torsten B; Johnson, Mallory O
- Abstract
Purpose: The patient��provider relationship is a central factor that can promote or hinder long-term engagement in care among people living with chronic illnesses. In this paper, we explore characteristics of the patient��provider relationship that facilitated or hindered engagement in care among patients receiving care at HIV specialty clinics.Patients and methods: We conducted 6 focus group discussions with a total of 43 well-retained and less well-retained HIV+ patients in San Francisco, Seattle, and Birmingham, to elicit a wide range of perspectives on engagement in HIV care. Borrowing from the field of psychotherapy, we examined patient��provider relationship characteristics through the lens of the therapeutic alliance, and with regard to their therapeutic efficacy and impact on patient engagement.Results: The majority of participants emphasized how a strong patient��provider relationship defined by trust, intimacy, and collaboration promoted engagement, while a weak patient��provider relationship impeded engagement.Conclusion: We discuss practical strategies and therapeutic techniques that may be helpful to providers in building strong patient��provider relationship and contend that a strong patient��provider relationship is crucial for patients to feel cared for during clinical encounters, which can promote long-term and sustained engagement in HIV care.
- Subjects
CHRONICALLY ill patient care; HIV-positive persons; CAREGIVER attitudes; CHRONIC diseases; PATIENT psychology; CHRONIC disease treatment
- Publication
Patient Preference & Adherence, 2018, Vol 12, p919
- ISSN
1177-889X
- Publication type
Article
- DOI
10.2147/PPA.S157003