Retention in HIV Care in Australia: The Perspectives of Clinicians and Clients, and the Impact of Medical and Psychosocial Comorbidity

AIDS Patient Care and STDs
Shiraze M BulsaraToby R O Newton-John

Abstract

Significant advances in our understanding and treatment of HIV have led to improvements in the medical management of the illness, as HIV infection has evolved from an acute to a chronic illness. Increasing our understanding of the medical and/or psychosocial comorbidities, which can interact to determine "clinical complexity" and impact HIV management, will further strengthen this process. Retention in care is a critical step of the HIV Treatment Cascade, which facilitates effective management of these comorbidities and their impact on HIV medical management. This study sought to build on literature regarding medical and/or psychosocial comorbidity that impacts retention in care, and it often leads to clinically complex presentations, by gaining the perspectives of people living with HIV (PLHIV), and medical and allied health clinicians in the field in Sydney, Australia. A total of 16 clinicians (medical doctors, nurses, clinical psychologists, and social workers) and 14 clients participated in a series of focus groups; they were asked to comment on the perceived barriers to retention and the potential solutions to overcome these. The results indicated a significant degree of overlap between clinician and client perspectives, a...Continue Reading

References

Aug 1, 1989·Genitourinary Medicine·N J BodsworthY E Cossart
May 1, 1980·The American Journal of Psychiatry·G L Engel
Jun 28, 2007·AIDS Patient Care and STDs·Carol R TobiasMari-Lynn Drainoni
Aug 8, 2008·Applied Nursing Research : ANR·Inge B CorlessC P Valencia
Dec 22, 2010·Journal of Health and Social Behavior·Debra Umberson, Jennifer Karas Montez
Dec 21, 2011·Annals of Internal Medicine·Richard W GrantSteve J Atlas
Jul 12, 2012·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Hilde D LuijksTjard R Schermer
Aug 17, 2012·AIDS Care·Benjamin H BaldersonSheryl Catz
Dec 21, 2012·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Marie HellebergNiels Obel
Jul 31, 2013·Frontiers in Pharmacology·Przemyslaw KardasMichal Matyjaszczyk
Dec 3, 2014·AIDS Patient Care and STDs·Arthur E BlankChinazo Cunningham
Apr 1, 2015·AIDS Patient Care and STDs·Julia C DombrowskiMatthew R Golden
May 27, 2015·PloS One·James H McMahonUNKNOWN Victorian Initiative for Patient Engagement and Retention VIPER Study Group
Sep 10, 2015·Current Opinion in HIV and AIDS·Frank TanserAdrian Dobra
Sep 16, 2015·AIDS·Bohdan NosykUNKNOWN STOP HIVAIDS Study Group
Feb 6, 2016·MMWR. Morbidity and Mortality Weekly Report·Sharoda DasguptaH Irene Hall
Jul 8, 2016·Tropical Medicine & International Health : TM & IH·Matthew P FoxDenise Evans
Nov 9, 2016·AIDS Research and Therapy·Emma Sophia KayMichael J Mugavero
Dec 19, 2016·AIDS and Behavior·Shiraze M BulsaraToby R O Newton-John
Oct 10, 2012·Journal of Comorbidity·Alexis K SchainkWalter P Wodchis
Feb 17, 2016·Journal of Comorbidity·Stanimir HasardzhievKarin Kadenbach
Mar 10, 2018·AIDS Research and Therapy·Derek J ChanAnjali K Bhardwaj
May 22, 2018·Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association·Cherie R Rooks-PeckUNKNOWN Prevention Research Synthesis Project
Aug 2, 2018·AIDS Patient Care and STDs·Leah M AdamsBruce J Packett

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Citations

Feb 13, 2020·AIDS Patient Care and STDs·Juliana de Oliveira CostaSallie-Anne Pearson
Aug 8, 2020·AIDS and Behavior·Shiraze M BulsaraToby R O Newton-John

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