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首页> 外文期刊>Journal of health communication >The Perspective of HIV Providers in Western Kenya on Provider-Patient Relationships
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The Perspective of HIV Providers in Western Kenya on Provider-Patient Relationships

机译：艾滋病毒提供者在肯尼亚西部患者关系中的角度来看

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摘要

Enhancing effective adherence dialogue with HIV patients in an environment that promotes good provider-patient relationships, is key to optimizing the benefits of antiretroviral therapy (ART). The study examines the perspectives of HIV providers in western Kenya on provider-patient relationships. Sixty healthcare providers were sampled using convenience sampling methods from three Academic Model for Providing Access to Healthcare (AMPATH) sites (one urban and two rural). In-depth interviews conducted in either Swahili or English were audio recorded, transcribed, and translated into English. Content analysis was performed after thematic coding. Providers perceived that they had good relationships with most patients, and tended to identify negative patient attributes as the source of poor provider-patient relationships. Providers preferred patients who adhered to treatment guidelines. They did not like patients who challenged their authority, and did not see it as their responsibility to find more effective ways of interacting with patients who they found difficult. Structural barriers to collaborative physician-patient relationships included noncontinuity of relationships, lack of specific appointment times, high provider-patient ratio, and management of provider fatigue and job dissatisfaction. There is need for HIV care programs to identify culturally appropriate interventions to enhance better provider-patient relationship.
机译：在促进良好的提供者患者关系的环境中加强与HIV患者的有效遵守对话是优化抗逆转录病毒治疗（ART）的益处的关键。该研究探讨了肯尼亚西部艾滋病毒提供者对提供者的关系的观点。使用来自三个学术模式的便利采样方法对六十个医疗保健提供商进行取样，以便提供对医疗保健（AMPath）地点（一个城市和两个农村）的访问。在斯瓦希里语或英语中进行的深入访谈是录制，转录和翻译成英文音频。在主题编码之后进行内容分析。提供者认为它们与大多数患者有良好的关系，并倾向于将负患者属性呈现为差的提供者患者关系的来源。提供商优选遵守治疗准则的患者。他们不喜欢挑战他们权力的患者，并没有看到它作为他们责任找到与他们发现困难的患者的更有效的方式。合作医师关系的结构障碍包括关系的非联系，缺乏特定的预约时间，高提供者 - 患者比率以及提供者疲劳和工作不满的管理。需要艾滋病毒保健计划来确定文化适当的干预措施，以提高更好的提供者关系。

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