Health perceptions of African HIV-infected patients and their physicians

Patient Education and Counseling
Melissa I Dominicé DaoAlexandra Calmy

Abstract

We explored how patients from Sub Saharan Africa (SSA) infected with HIV and living in Switzerland, and their treating physicians perceived their health, whether these perceptions correlated with biological markers, and what organisational changes participants considered likely to improve quality of care. A prospective standardized questionnaire was submitted to HIV-infected patients from SSA and their physicians. Results were correlated with biological data. While physicians deduced improved health status from laboratory results, these did not provide an adequate surrogate marker of good health for patients. Patients experienced important social and economical difficulties with adverse consequences on their mental health. They requested social assistance, whereas physicians sought improved cultural competency. Patients and physicians did not agree in their evaluation of patients' health status. Patients did not perceive their health through biological markers, but linked their mental health with their socioeconomic context. Physicians underestimated patients' biological health and their evaluation of global health. Exploring difficulties perceived by physicians with specific patients lead to identification of structural weakne...Continue Reading

References

Jan 1, 1994·Sozial- Und Präventivmedizin·B LedergerberR Lüthy
Jul 1, 1994·Social Science & Medicine·A M SmithL Dennerstein
Jun 1, 1997·American Journal of Public Health·B Shadbolt
Feb 10, 1998·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·D Franchi, R P Wenzel
Aug 5, 2000·JAMA : the Journal of the American Medical Association·D SiloveC Watters
May 1, 2001·The American Journal of Psychiatry·J A Ciesla, J E Roberts
Nov 3, 2001·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·K BoubakerA Telenti
Feb 28, 2002·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·Jo Erwin, Barry S. Peters
Jun 29, 2002·Patient Education and Counseling·I AujoulatA Deccache
Jan 22, 2003·Journal of General Internal Medicine·Quyen Ngo-MetzgerRussell S Phillips
Dec 4, 2003·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Silvana De Castro, Eduardo Sabaté
Dec 14, 2004·Patient Education and Counseling·Christian AlbusGerd Fätkenheuer
Oct 26, 2005·Social Science & Medicine·Natalie J Grove, Anthony B Zwi
Jun 6, 2006·European Journal of Public Health·Anu MolariusInna Feldman
May 1, 2007·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Huanguang JiaPamela W Duncan
Aug 24, 2007·Public Health Nursing·Priscilla S DlaminiLucy N Makoae
Dec 28, 2007·Women & Health·Gina M WingoodMike Saag

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Citations

Jun 29, 2010·Patient Education and Counseling·Arnstein Finset
Feb 14, 2014·Journal of the International Association of Providers of AIDS Care·Naushad M KhakooMichael S Lyons
Nov 21, 2015·Journal of the International AIDS Society·Anna HachfeldUNKNOWN Swiss HIV Cohort Study
Sep 23, 2011·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Cornelia StaehelinUNKNOWN Swiss HIV Cohort Study

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