How do patients with HIV perceive their general practitioners?

Kochen, M. M.; Hasford, Joerg; Jäger, H.; Zippel, Stefan; L’age, M.; Rosendahl, Carla; Füeßl, Hermann S.; Eichenlaub, D.

doi:10.1136/bmj.303.6814.1365

Cited by 15 publications

(5 citation statements)

References 7 publications

(1 reference statement)

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“…Among HIV positive patients who seek care, confidentiality worries lead some to withhold vital information from clinicians 84,104–111 . Many who withheld their diagnosis from doctors did so because they did not trust the practitioner or the clinical setting to be able to keep the information confidential, 81 or they feared refusal of treatment or discrimination 83,84,105,111 …”

Section: Resultsmentioning

confidence: 99%

Patient perspectives on medical confidentiality

et al. 2003

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OBJECTIVE: To lay the groundwork for a better understanding of patient views on medical confidentiality. DESIGN: Studies were found by searching MEDLINE, BIOETHICSLINE, and selected bibliographies. Articles concerning physician perspectives or implications of legal and administrative regulations were excluded. Only peer-reviewed journal articles reporting original research on patients' confidentiality views and conduct were included. MAIN RESULTS:Many patients are unaware of or misunderstand their legal or ethical right to medical confidentiality protections, which leads them to both over-and underestimate confidentiality protections. The possibility that medical information might be revealed, intentionally or not, to acquaintances in a clinic or other social community troubles patients as much as information release to insurers or employers. A significant minority of patients distrust confidentiality protections, leading some to report that they delay or forgo medical care. If doubtful that confidentiality will be upheld, patients will act independently to protect information. CONCLUSIONS: Our review found a wider variety of understandings and beliefs about medical confidentiality among patients than are often indicated in the writings of practitioners or legal experts. As medical confidentiality regulations evolve, these differences need to be recognized and accounted for in interactions between practitioners and patients.

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Section: Resultsmentioning

confidence: 99%

Patient perspectives on medical confidentiality

et al. 2003

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“…Finally, early and sustained adherence involves establishment of sound relationships with health care providers, including avoidance of negative interactions which impair the formation of relationships with new providers (Kochen et al, 1991) and lead to further disengagement (Malcolm, Ng, Rosen, & Stone, 2003). Our study paradoxically revealed that multiple negative inpatient experiences actually promoted adherence in order for a few select women to avoid hospitalization.…”

Section: Discussionmentioning

confidence: 99%

Perspectives of middle-aged African-American women in the Deep South on antiretroviral therapy adherence

et al. 2013

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Despite evidence of stabilization in some areas of the US, HIV infection in Black women is not declining in the Deep South. Using a phenomenological approach to qualitative inquiry, we investigated women's experiences influencing their adherence to HAART in an urban setting. Inclusion criteria specified Black women who had been aware of their HIV status for at least two years and were engaged in HIV outpatient care. Twelve single face-to-face confidential in-depth semi-structured interviews were conducted from a sample of pre-dominantly middle-aged women retained in care at an HIV clinic in Atlanta, Georgia. Data was analyzed by two independent reviewers and three themes emerged from the group of women's accounts of their experiences. First, sentinel events led to changes in perspective and motivated women to adhere to HAART. Second, recognition that one had the personal strength necessary to cope with HIV fostered adherence. Finally, relationships with healthcare providers especially trust issues surrounding this relationship, impacted adherence both positively and negatively. These findings suggest that HAART adherence is a complex issue among middle-aged urban Black women with HIV in the Deep South. Providers caring for this patient population should recognize that sentinel events, personal strength, and positive healthcare relationships are opportunities to improve adherence.

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“…34 Other studies have also reported that patients regard their general practitioner as a trusted source of information. 37,38 Newson further illustrates that while many individuals are not interested in reducing their salt intake, the majority would value more information on salt and health, dietary sources of salt, and how to reduce their salt intake. 34 Therefore, it is important that health professionals and healthcare workers use opportunities to engage and educate patients on salt reduction as part of the primary and secondary prevention of NCDs.…”

Section: The Role Of Healthcare Practitionersmentioning

confidence: 99%