Promoting patient-centered care within HIV care settings in sub-Saharan Africa.
Journal
Current opinion in HIV and AIDS
ISSN: 1746-6318
Titre abrégé: Curr Opin HIV AIDS
Pays: United States
ID NLM: 101264945
Informations de publication
Date de publication:
01 Jan 2023
01 Jan 2023
Historique:
pmc-release:
01
01
2024
entrez:
12
12
2022
pubmed:
13
12
2022
medline:
15
12
2022
Statut:
ppublish
Résumé
Patient centered care (PCC) in human immunodeficiency virus (HIV) care systems in sub-Saharan Africa (SSA) may improve outcomes for persons with HIV (PWH). We review the progress the region has made in promoting PCC and highlight some of the implementation challenges and potential areas of research. Studies show growing interest in promoting PCC across HIV care programs in SSA. Effective implementation of PCC, however, is hampered by: (1) lack of consensus on the conceptualization of PCC, including definition, frameworks, measures, and implementation strategies; (2) limited regional studies on the adoption and sustainability of PCC interventions; and (3) healthcare structural challenges including limited capital and human resources, poor provider-patient dynamics, high provider turnover, and lack of continuity in care. Recent studies in the region have focused on identifying key PCC domains addressable in resource limited settings, understanding the PCC experiences and expectations of PWH and their providers, and testing innovative interventions. We highlight the need for additional studies to address the existing gaps. We discuss the progress and challenges of implementing PCC in HIV care settings in SSA as well as the need for additional research to ensure that proposed PCC interventions have optimal impact.
Identifiants
pubmed: 36503878
doi: 10.1097/COH.0000000000000770
pii: 01222929-202301000-00005
pmc: PMC9757848
mid: NIHMS1846135
doi:
Types de publication
Review
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
27-31Subventions
Organisme : FIC NIH HHS
ID : K43 TW010684
Pays : United States
Organisme : NIAID NIH HHS
ID : P30 AI042853
Pays : United States
Organisme : NIGMS NIH HHS
ID : U54 GM115677
Pays : United States
Informations de copyright
Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.
Références
Gartner JB, Abasse KS, Bergeron F, et al. Definition and conceptualization of the patient-centered care pathway, a proposed integrative framework for consensus: a Concept analysis and systematic review. BMC Health Serv Res [Internet]. 2022 Dec 1 [cited 2022 Aug 15];22(1):1–24. Available from: https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-022-07960-0 .
Grover S, Fitzpatrick A, Azim FT, et al. Defining and implementing patient-centered care: an umbrella review. Patient Educ Couns 2022; 105:1679–1688.
Mead N, Bower P. Patient-centredness: a conceptual framework and review of the empirical literature. Soc Sci Med 2000; 51:1087–1110.
Giusti A, Pukrittayakamee P, Alarja G, et al. Developing a global practice-based framework of person-centred care from primary data: a cross-national qualitative study with patients, caregivers and healthcare professionals. BMJ Glob Heal [Internet]. 2022 Jul 1 [cited 2022 Aug 15];7(7):e008843. Available from: https://gh.bmj.com/content/7/7/e008843 .
Håkansson Eklund J, Holmström IK, Kumlin T, et al. Same same or different?” A review of reviews of person-centered and patient-centered care. Patient Educ Couns 2019; 102:3–11.
World Health Organization. (2015). WHO global strategy on people-centred and integrated health services: interim report. World Health Organization [Internet]. 2015: 48 Available from: [cited 2022 Aug 16] https://apps.who.int/iris/handle/10665/155002 .
Duffy M, Madevu-Matson C, Posner JE, et al. Systematic review: Development of a person-centered care framework within the context of HIV treatment settings in sub-Saharan Africa. Trop Med Int Heal [Internet]. 2022 May 1 [cited 2022 Aug 16];27(5):479–93. Available from: https://onlinelibrary.wiley.com/doi/full/10.1111/tmi.13746 .
Wachira Juddy, Genberg Becky, Mwangi Ann, et al. Impact of an enhanced patient care (EPC) intervention on viral suppression among patients living with HIV in Kenya. J Acquir Immune Defic Syndr [Internet] 2022; 90:434–439.
Wachira J, Mwangi A, Chemutai D, et al. higher clinician-patient communication is associated with greater satisfaction with HIV care: https://doi.org/101177/23259582211054935 [Internet]. 2021 Nov 17 [cited 2022 Jan 9];20. Available from: https://journals.sagepub.com/doi/full/10.1177/23259582211054935 .
Wachira J, Mwangi A, Genberg B, et al. continuity of care is associated with higher appointment adherence among hiv patients in low clinician-to-patient ratio facilities in Western Kenya. AIDS Behav 2022 [Internet]. 2022 Apr 25 [cited 2022 Aug 16];1–8. Available from: https://link.springer.com/article/10.1007/s10461-022-03686-6 .
Santana MJ, Manalili K, Jolley RJ, Zelinsky S, et al. How to practice person-centred care: a conceptual framework. Heal Expect [Internet]. 2018 Apr 1 [cited 2022 Aug 16];21(2):429–40. Available from: https://onlinelibrary.wiley.com/doi/full/10.1111/hex.12640 .
Bader M, Zheng L, Rao D, et al. Towards a more patient-centered clinical trial process: a systematic review of interventions incorporating health literacy best practices. Contemp Clin Trials 2022; 116:106733.
McGrady ME, Pai ALH, Prosser LA. Using discrete choice experiments to develop and deliver patient-centered psychological interventions: a systematic review. https://doi.org/101080/1743719920201715813 [Internet]. 2020 [cited 2022 Aug 16];15(2):314–32. Available from: https://www.tandfonline.com/doi/abs/10.1080/17437199.2020.1715813 .
Carfora L, Foley CM, Hagi-Diakou P, et al. Patients’ experiences and perspectives of patient-reported outcome measures in clinical care: A systematic review and qualitative meta-synthesis. PLoS One [Internet]. 2022 Apr 1 [cited 2022 Aug 16];17(4):e0267030. Available from: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0267030 .
Brault MA, Vermund SH, Aliyu MH, et al. Leveraging HIV care infrastructures for integrated chronic disease and pandemic management in Sub-Saharan Africa. Int J Environ Res Public Heal 2021, Vol 18, Page 10751 [Internet]. 2021 Oct 13 [cited 2022 Aug 16];18(20):10751. Available from: https://www.mdpi.com/1660-4601/18/20/10751/htm .
Nachega JB, Kapata N, Sam-Agudu NA, et al. Minimizing the impact of the triple burden of COVID-19, tuberculosis and HIV on health services in sub-Saharan Africa. Int J Infect Dis 2021; 113:S16–21.
Burgers JS, van der Weijden T, Bischoff EWMA. Challenges of research on person-centered care in general practice: a scoping review. Front Med 2021; 8:960.
Hendricks L, Eshun-Wilson I, Rohwer A. A mega-aggregation framework synthesis of the barriers and facilitators to linkage, adherence to ART and retention in care among people living with HIV. Syst Rev [Internet]. 2021 Dec 1 [cited 2022 Aug 16];10(1):1–28. Available from: https://link.springer.com/articles/10.1186/s13643-021-01582-z .
Gogovor A, Fakhfakh M, Asmaou Bouba D, et al. Shared decision-making and person-centred care approaches in three African regions. Z Evid Fortbild Qual Gesundhwes 2022; 171:6–10.
Wachira J, Genberg B, Chemutai D, et al. Implementing enhanced patient care to promote patient engagement in HIV care in a rural setting in Kenya. BMC Heal Serv Res 2021 211 [Internet]. 2021 May 27 [cited 2021 Aug 2];21(1):1–9. Available from: https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-021-06538-6 .
Muhula S, Gachohi J, Kombe Y, et al. Interventions to improve early retention of patients in antiretroviral therapy programmes in sub-Saharan Africa: a systematic review. PLoS One [Internet]. 2022 Feb 1 [cited 2022 Aug 16];17(2):e0263663. Available from: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0263663 .
Kafu C, Wachira J, Braitstein P, et al. Provider perspectives on the role of the patient as an active participant in HIV care. https://doi.org/101080/1744169220201830296 [Internet]. 2020 [cited 2022 Aug 16];16(10):1645–55. Available from: https://www.tandfonline.com/doi/abs/10.1080/17441692.2020.1830296 .
Ehrenkranz P, Grimsrud A, Holmes CB, et al. Expanding the vision for differentiated service delivery: a call for more inclusive and truly patient-centered care for people living with HIV. J Acquir Immune Defic Syndr [Internet]. 2021 Feb 2 [cited 2022 Aug 16];86(2):147. Available from: /pmc/articles/PMC7803437/.
Okere NE, Lennox L, Urlings L, et al. Exploring sustainability in the era of differentiated HIV service delivery in Sub-Saharan Africa: a systematic review. J Acquir Immune Defic Syndr [Internet]. 2021 Aug 8 [cited 2022 Aug 16];87(4):1055. Available from: /pmc/articles/PMC8219088/.
Kiplagat AB, Kako PM, Mkandawire-Valhmu L, et al. The HIV transmission risk factors and opportunities for use of mHealth in HIV prevention among emerging adult population in the Sub-Saharan Africa context: a review of the literature. https://doi.org/101080/1463524020211995464 [Internet]. 2021 [cited 2022 Feb 1]; Available from: https://www.tandfonline.com/doi/abs/10.1080/14635240.2021.1995464 .
Nwaozuru U, Obiezu-Umeh C, Shato T, et al. Mobile health interventions for HIV/STI prevention among youth in low- and middle-income countries (LMICs): a systematic review of studies reporting implementation outcomes. Implement Sci Commun 2021 21 [Internet]. 2021 Nov 6 [cited 2022 Feb 1];2(1):1–16. Available from: https://implementationsciencecomms.biomedcentral.com/articles/10.1186/s43058-021-00230-w .
Chitungo I, Mhango M, Mbunge E, et al. Utility of telemedicine in sub-Saharan Africa during the COVID-19 pandemic. A rapid review. Hum Behav Emerg Technol [Internet]. 2021 Dec 1 [cited 2022 Aug 16];3(5):843–53. Available from: https://onlinelibrary.wiley.com/doi/full/10.1002/hbe2.297 .
Mehraeen E, Pashaei Z, Barzegary A. Mobile Applications in HIV Self-management: A systematic review of scientific literature health needs and concerns of HPV positive people view project design, implementation, and evaluation of a mobile-based education and self-care application for COVID-19 disease View project. [cited 2022 Mar 21]; Available from: https://www.researchgate.net/publication/354810227 .
Tran BQ, Tran B. Strategies for effective patient care: integrating quality communication with the patient-centered approach. Soc Personal Psychol Compass [Internet]. 2021 Jan 1 [cited 2022 Aug 16];15(1):e12574. Available from: https://onlinelibrary.wiley.com/doi/full/10.1111/spc3.12574 . The article proposes a person-centered communication model of care framework that aims to improve patient-provider communication in the era of advancement in health technology.