“We listen to them”: A Qualitative Study of HIV Provider-Patient Relationship in the Management of Care

Agnes Ebotabe Arrey *

Mental Health and Wellbeing Research Group, Department of Public Health, Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel, Brussels, Belgium

Johan Bilsen

Mental Health and Wellbeing Research Group, Department of Public Health, Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel, Brussels, Belgium

Patrick Lacor

Department of Internal Medicine and Infectious Diseases, AIDS Reference Centre, Universitair Ziekenhuis Brussel, Brussels, Belgium

Reginald Deschepper

Mental Health and Wellbeing Research Group, Department of Public Health, Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel, Brussels, Belgium

*Author to whom correspondence should be addressed.


Abstract

Background: Although previous research that considered a variety of chronic diseases have shown that quality of provider-patient relationship is related to health outcomes, key issues defining HIV care provider-patient relationship has not been well studied in Belgium. It is important to understand the key elements that define HIV care team-patient relationship and how they deal with psychosocial issues facing sub-Saharan African (SSA) migrant women with HIV/AIDS in Belgium.

Methods: Face to face in-depth semi-structured interviews with 8 HIV experts at an AIDS Reference Centre in Brussels were conducted between December 2013 and March 2014. Observations during patient–doctor consultations were also conducted. Experts were asked to describe their experiences in the treatment and care of SSA migrant women with HIV/AIDS. Thematic analysis approach was used in the analysis of the transcripts.

Results: HIV care team viewed their role as encompassing both biomedical and psychosocial aspects of care, reported a bottom-up communication about HIV care and the ability to positively influence patients’ acceptance and coping with HIV/AIDS as a long-term illness. The team described communication as a process, individualized approaches to recommendations and viewed their provision of care as satisfying. Some participants described their frustration at not being able to get some patients adhere to their treatment.

Conclusion: HIV care team reported increased job satisfaction in their interaction with patients. Further research is necessary to determine if educational interventions to improve non-HIV healthcare providers’ interaction skills could improve patient-healthcare providers’ relationship and reduce stigma and discrimination in healthcare settings.

Keywords: HIV/AIDS care team, treatment adherence, communication, information, patient education, healing process


How to Cite

Arrey, Agnes Ebotabe, Johan Bilsen, Patrick Lacor, and Reginald Deschepper. 2015. “‘We Listen to them’: A Qualitative Study of HIV Provider-Patient Relationship in the Management of Care”. Journal of Education, Society and Behavioural Science 12 (4):1-10. https://doi.org/10.9734/BJESBS/2016/20582.

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