Peer navigators' role in supporting people living with human immunodeficiency virus in Australia: Qualitative exploration of general practitioners' perspectives.
HIV
barriers to care
peer navigation
primary care
qualitative analysis
systems navigation
Journal
Health & social care in the community
ISSN: 1365-2524
Titre abrégé: Health Soc Care Community
Pays: England
ID NLM: 9306359
Informations de publication
Date de publication:
07 2022
07 2022
Historique:
revised:
11
03
2021
received:
08
09
2020
accepted:
28
04
2021
pubmed:
9
6
2021
medline:
9
6
2022
entrez:
8
6
2021
Statut:
ppublish
Résumé
The redefining of human immunodeficiency virus (HIV) from an acute disease to a manageable chronic illness has reshaped the focus of care, emphasising clinical outcomes and sidelining the complex social barriers many people living with HIV (PLHIV) still face. This parallels changes in the location of HIV care in Australia, with many PLHIV seeking care from private general practitioners whose ability to address complex social issues is constrained by limitations of time and resources. In response, peer navigation has emerged as a model of care implemented by some HIV-based community health organisations seeking to support PLHIV's biomedical and psychosocial needs. However, there is limited understanding of how peer navigation operates in community settings or of the way these programmes integrate with primary care. This paper is the first to explore peer navigation from the perspective of general practitioners (GPs), with experience in treating PLHIV, to understand the role they see for peer navigators (PNs) in supporting PLHIV. Semi-structured in-depth interviews were conducted with six GPs (11.5% of specialty HIV GPs in Queensland, Australia) to examine their views and experiences of peer navigation in the context of HIV care. GPs highlighted the complexities of care for PLHIV and the need for additional resources and supports for psychosocial care. GPs valued peer navigation as part of a patient support network and bridge to health and social care systems. PNs normalised HIV, alleviating fear and stigma, educating and translating clinical information for patients. However, a key challenge was the absence of direct communication pathways with PNs. Peer navigation has clear potential in supporting the care of PLHIV, to alleviate constraints in GP settings and expand HIV care beyond the clinic.
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1353-1362Informations de copyright
© 2021 John Wiley & Sons Ltd.
Références
Allsop, J., Jones, K., & Baggott, R. (2004). Health consumer groups in the UK: A new social movement? Sociology of Health and Illness, 26(6), 737-756. https://doi.org/10.1111/j.0141-9889.2004.00416.x
Armstrong, D., Gosling, A., Weinman, J., & Marteau, T. (1997). The place of inter-rater reliability in qualitative research: An empirical study. Sociology, 31(3), 597-606. https://doi.org/10.1177/0038038597031003015
Australian Government Department of Health. (2018). 8th National HIV strategy 2018-2022. Australian Government.
Australasian Society for HIV Medicine (ASHM). (2018). Prescriber contact listing. Retrieved from https://www.ashm.org.au/PrescriberListing/
Bradford, J. B., Coleman, S., & Cunningham, W. (2007). HIV system navigation: An emerging model to improve HIV care access. AIDS Patient Care and STDS, 21(S1), S-49-S-58. https://doi.org/10.1089/apc.2007.9987
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77-101. https://doi.org/10.1191/1478088706qp063oa
Braun, V., & Clarke, V. (2013). Successful qualitative research: A practical guide for beginners. Sage.
Carrasco, M. A., Arias, R., & Figueroa, M. E. (2017). The multidimensional nature of HIV stigma: Evidence from Mozambique. African Journal of AIDS Research, 16(1), 11-18. https://doi.org/10.2989/16085906.2016.1264983
CATIE. (2013). Peer navigation services programming connection case study Toronto, Canada.
Cunningham, W. E., Weiss, R. E., Nakazono, T., Malek, M. A., Shoptaw, S. J., Ettner, S. L., & Harawa, N. T. (2018). Effectiveness of a peer navigation intervention to sustain viral suppression among HIV-positive men and transgender women released from jail: The LINK LA Randomized Clinical Trial. JAMA Internal Medicine, 178(4), 542-553. https://doi.org/10.1001/jamainternmed.2018.0150
Deeks, S. G., Lewin, S. R., & Havlir, D. V. (2013). The end of AIDS: HIV infection as a chronic disease. The Lancet, 382(9903), 1525-1533.
Dodson, S., Klassen, K. M., McDonald, K., Millard, T., Osborne, R. H., Battersby, M. W., Fairley, C. K., Simpson, J. A., Lorgelly, P., Tonkin, A., Roney, J., Slavin, S., Sterjovski, J., Brereton, M., Lewin, S. R., Crooks, L., Watson, J. O., Kidd, M. R., Williams, I., & Elliott, J. H. (2016). HealthMap: A cluster randomised trial of interactive health plans and self-management support to prevent coronary heart disease in people with HIV. BMC Infectious Diseases, 16(1), 114. https://doi.org/10.1186/s12879-016-1422-5
Fitzgerald, L., Mutch, A., & Herron, L. (2019). Australia’s response to HIV: Mobilisation through partnerships in a public health crisis. In J. Luetjens, M. Mintrom, & P. `t Hart (Eds.), Policy successes in Australia and New Zealand (pp. 29-58). ANU Press.
Flowers, P., Davis, M. M., Larkin, M., Church, S., & Marriott, C. (2011). Understanding the impact of HIV diagnosis amongst gay men in Scotland: An interpretative phenomenological analysis. Psychology & Health, 26(10), 1378-1391. https://doi.org/10.1080/08870446.2010.551213
Freeman, H. P., & Rodriguez, R. L. (2011). History and principles of patient navigation. Cancer, 117(S15), 3537-3540. https://doi.org/10.1002/cncr.26262
Gardner, E. M., McLees, M. P., Steiner, J. F., del Rio, C., & Burman, W. J. (2011). The spectrum of engagement in HIV care and its relevance to test-and-treat strategies for prevention of HIV infection. Clinical Infectious Diseases, 52(6), 793-800. https://doi.org/10.1093/cid/ciq243
Gardner, E. M., & Young, B. (2014). The HIV care cascade through time. The Lancet Infectious Diseases, 1(14), 5-6. https://doi.org/10.1016/S1473-3099(13)70272-X
Grierson, J., Power, J., Pitts, M., Croy, S., Clement, T., Thorpe, R., & McDonald, K. (2009). HIV futures six: Making positive lives count. The Australian Research Centre in Sex, Health and Society, LaTrobe University. Retrieved from http://www.latrobe.edu.au/arcshs/downloads/arcshs-research-publications/Futures6.Pdf.
Hallum-Montes, R., Morgan, S., Rovito, H. M., Wrisby, C., & Anastario, M. P. (2013). Linking peers, patients, and providers: A qualitative study of a peer integration program for hard-to-reach patients living with HIV/AIDS. AIDS Care, 25(8), 968-972. https://doi.org/10.1080/09540121.2012.748869
Hangulu, L., & Akintola, O. (2017). Perspectives of policy-makers and stakeholders about health care waste management in community-based care in South Africa: A qualitative study. BMC Health Services Research, 17, 1-13. https://doi.org/10.1186/s12913-017-2236-x
Higa, D. H., Marks, G., Crepaz, N., Liau, A., & Lyles, C. M. (2012). Interventions to improve retention in HIV primary care: A systematic review of US studies. Current HIV/AIDS Reports, 9(4), 313-325. https://doi.org/10.1007/s11904-012-0136-6
Howard, C. (2017). Life+ Peer navigation for people newly diagnosed with HIV. Paper presented at the HIV Health Consumers.
Kendall, E., & Rogers, A. (2007). Extinguishing the social? State sponsored self-care policy and the chronic disease self-management programme. Disability & Society, 22(2), 129-143. https://doi.org/10.1080/09687590601141535
Kippax, S., & Stephenson, N. (2012). Beyond the distinction between biomedical and social dimensions of HIV prevention through the lens of a social public health. American Journal of Public Health, 102(5), 789-799. https://doi.org/10.2105/AJPH.2011.300594
Kirby Institute. (2017). HIV, viral hepatitis and sexually transmissible infections in Australia: annual surveillance report 2017. UNSW Sydney.
Koester, K. A., Morewitz, M., Pearson, C., Weeks, J., Packard, R., Estes, M., Tulsky, J., Kang-Dufour, M. S., & Myers, J. J. (2014). Patient navigation facilitates medical and social services engagement among HIV-infected individuals leaving jail and returning to the community. AIDS Patient Care and STDS, 28(2), 82-90. https://doi.org/10.1089/apc.2013.0279
Layzell, S., & McCarthy, M. (1992). Community-based health services for people with HIV/AIDS: A review from a health service perspective. AIDS Care, 4(2), 203-215. https://doi.org/10.1080/09540129208253091
Lazarus, J. V., Safreed-Harmon, K., Barton, S. E., Costagliola, D., Dedes, N., del Amo Valero, J., Gatell, J. M., Baptista-Leite, R., Mendão, L., Porter, K., Vella, S., & Rockstroh, J. K. (2016). Beyond viral suppression of HIV-the new quality of life frontier. BMC Medicine, 14(1), 94. https://doi.org/10.1186/s12916-016-0640-4
McCoy, L. (2005). HIV-positive patients and the doctor-patient relationship: Perspectives from the margins. Qualitative Health Research, 15(6), 791-806. https://doi.org/10.1177/1049732305276752
McDonald, K., Slavin, S., Pitts, M. K., & Elliott, J. H., & Team, H. P. (2016). Chronic disease self-management by people with HIV. Qualitative Health Research, 26(6), 863-870. https://doi.org/10.1177/1049732315600415
McKinn, S., Bonner, C., Jansen, J., & McCaffery, K. (2015). Recruiting general practitioners as participants for qualitative and experimental primary care studies in Australia. Australian Journal of Primary Health, 21(3), 354-359. https://doi.org/10.1071/PY14068
McNairy, M. L., & El-Sadr, W. M. (2014). A paradigm shift: Focus on the HIV prevention continuum. Clinical Infectious Diseases, 59(suppl_1), S12-S15. https://doi.org/10.1093/cid/ciu251
Mitchell, G. K., Burridge, L., Zhang, J., Donald, M., Scott, I. A., Dart, J., & Jackson, C. L. (2015). Systematic review of integrated models of health care delivered at the primary-secondary interface: How effective is it and what determines effectiveness? Australian Journal of Primary Health, 21(4), 391-408. https://doi.org/10.1071/py14172
Mizuno, Y., Fagan, J., Tie, Y., & Padilla, M. (2020). Is patient navigation used by people with HIV who need it? An assessment from the medical monitoring project, 2015-2017. AIDS Patient Care and STDs, 34(10), 452-459.
Mizuno, Y., Higa, D. H., Leighton, C. A., Roland, K. B., Deluca, J. B., & Koenig, L. J. (2018). Is HIV patient navigation associated with HIV care continuum outcomes? AIDS, 32(17), 2557-2571. https://doi.org/10.1097/QAD.0000000000001987
Moyer, E., & Hardon, A. (2014). A disease unlike any other? Why HIV remains exceptional in the age of treatment. Medical Anthropology, 33(4), 263-269. https://doi.org/10.1080/01459740.2014.890618
Mugavero, M. J., Davila, J. A., Nevin, C. R., & Giordano, T. P. (2010). From access to engagement: Measuring retention in outpatient HIV clinical care. AIDS Patient Care and STDS, 24(10), 607-613. https://doi.org/10.1089/apc.2010.0086
Mutch, A. J., Lui, C. W., Dean, J., Mao, L., Lemoire, J., Debattista, J., Howard, C., Whittaker, A., & Fitzgerald, L. (2017). Increasing HIV testing among hard-to-reach groups: Examination of RAPID, a community-based testing service in Queensland, Australia. BMC Health Services Research, 17, 310. https://doi.org/10.1186/s12913-017-2249-5
Nelson, J. (2017). Using conceptual depth criteria: Addressing the challenge of reaching saturation in qualitative research. Qualitative Research, 17(5), 554-570. https://doi.org/10.1177/1468794116679873
Newman, C. E., De Wit, J. B., Crooks, L., Reynolds, R. H., Canavan, P. G., & Kidd, M. R. (2015). Challenges of providing HIV care in general practice. Australian Journal of Primary Health, 21(2), 164-168. https://doi.org/10.1071/PY13119
Newman, C. E., De Wit, J. B., Kippax, S. C., Reynolds, R. H., Canavan, P. G., & Kidd, M. R. (2012). The role of the general practitioner in the Australian approach to HIV care: Interviews with ‘key informants’ from government, non-government and professional organisations. Sexually Transmitted Infections, 88(2), 132-135. https://doi.org/10.1136/sextrans-2011-050130
Persson, A., Newman, C. E., Hopwood, M., Kidd, M. R., Canavan, P. G., Kippax, S. C., Reynolds, R. H., & de Wit, J. B. F. (2014). No ordinary mainstream illness: How HIV doctors perceive the virus. Qualitative Health Research, 24(1), 6-17. https://doi.org/10.1177/1049732313514139
Plummer, D., & Irwin, L. (2006). Grassroots activities, national initiatives and HIV prevention: Clues to explain Australia's dramatic early success in controlling the HIV epidemic. International Journal of STD and AIDS, 17(12), 787-793. https://doi.org/10.1258/095646206779307612
Robinson, S., & Wilson, E. (2012). Working together? Medical professionals, gay community organisations and the response to HIV/AIDS in Australia, 1983-1985. Social History of Medicine, 25(3), 701-718. https://doi.org/10.1093/shm/hkr172
Salmon, P., Peters, S., Rogers, A., Gask, L., Clifford, R., Iredale, W., Dowrick, C., & Morriss, R. (2007). Peering through the barriers in GPs' explanations for declining to participate in research: The role of professional autonomy and the economy of time. Family Practice, 24(3), 269-275. https://doi.org/10.1093/fampra/cmm015
Sarango, M., de Groot, A., Hirschi, M., Umeh, C. A., & Rajabiun, S. (2017). The role of patient navigators in building a medical home for multiply diagnosed HIV-positive homeless populations. Journal of Public Health Management and Practice, 23(3), 276-282. https://doi.org/10.1097/PHH.0000000000000512
Smith, D., Woolley, I., Russell, D., Bisshop, F., & Furner, V. (2018). HIV in practice: Current approaches and challenges in the diagnosis, treatment and management of HIV infection in Australia. HIV Medicine, 19, 5-23. https://doi.org/10.1111/hiv.12637
Smith, D. E., Woolley, I. J., Russell, D. B., Bisshop, F., & Furner, V. (2020). Trends in practice: Attitudes and challenges in the diagnosis, treatment and management of HIV infection in Australia. Internal Medicine Journal, 50, 5-17.
Smith, J. A. (2015). Qualitative psychology: A practical guide to research methods (2nd ed.). SAGE Publications.
Steward, W. T., Sumitani, J., Moran, M. E., Ratlhagana, M. J., Morris, J. L., Isidoro, L., Gilvydis, J. M., Tumbo, J., Grignon, J., Barnhart, S., & Lippman, S. A. (2018). Engaging HIV-positive clients in care: Acceptability and mechanisms of action of a peer navigation program in South Africa. AIDS Care, 30(3), 330-337. https://doi.org/10.1080/09540121.2017.1363362
Sullivan, K. A., Schultz, K., Ramaiya, M., Berger, M., Parnell, H., & Quinlivan, E. B. (2015). Experiences of women of color with a nurse patient navigation program for linkage and engagement in HIV care. AIDS Patient Care and STDS, 29, S49-S54. https://doi.org/10.1089/apc.2014.0279
Swendeman, D., Ingram, B. L., & Rotheram-Borus, M. J. (2009). Common elements in self-management of HIV and other chronic illnesses: An integrative framework. AIDS Care, 21(10), 1321-1334. https://doi.org/10.1080/09540120902803158
UNAIDS. (2014). 90-90-90 An ambitious treatment target to help end the AIDS epidemic. Joint United Nations Program on HIV/AIDS.
Wells, K. J., & Gordon, J. R. (2020). Patient navigation/community health workers. In S. B. Gulliver & L. B. Cohen (Eds.), The Wiley encyclopedia of health psychology (Vol. 4, pp. 91-100). https://doi.org/10.1002/9781119057840
Young, C. E., Mutch, A. J., Boyle, F. M., & Dean, J. H. (2010). Investigating referral pathways from primary care to consumer health organisations. Australian Journal of Primary Health, 16(3), 260-267. https://doi.org/10.1071/PY09081