Supporting retention in HIV care through a holistic, patient-centred approach: a qualitative evaluation

dc.contributor.authorChinyandura, Cathrine
dc.contributor.authorJiyane, Anele
dc.contributor.authorTsalong, Xolani
dc.contributor.authorStruthers, Helen E
dc.contributor.authorMcIntyre, James A
dc.contributor.authorRees, Kate
dc.date.accessioned2022-04-08T10:41:35Z
dc.date.available2022-04-08T10:41:35Z
dc.date.issued2022-01-29
dc.date.updated2022-01-30T04:13:18Z
dc.description.abstractBackground HIV is a complex disease which affects different facets (social, economic, physical, emotional and spiral) of an individual’s life, making the goals of retention in care and adherence to treatment difficult to achieve. Holistic patient-centred approaches to providing care for people living with HIV bind together economic, social, emotional and physiological aspects and have the potential to improve retention in care and ART adherence. Case management is a holistic, patient-centred approach which is increasingly being implemented in the management of chronic illnesses. Methods We conducted a qualitative study based on semi-structured interviews with key informants (retention officers and social auxiliary workers) and patients. A total of 60 patients and 17 KIs (11 retention officers and 6 social auxiliary workers) participated in the study. The study was conducted in Johannesburg District, Gauteng province, South Africa. Key informants (KIs) and patients were drawn from 8 health facilities located in four management clusters of the district. Results The findings identified facilitators and barriers to adherence and retention in care, and demonstrated that case management offered holistic, patient-centred services which patients considered to be beneficial to their well-being and helped them overcome some of these barriers. The success of case management was driven by its holistic and patient-centred approach, which extended the focus to patients’ non-clinical needs which impact on their quality of life. Complex interacting barriers and facilitators at different levels influenced implementation of the model and its outcomes. Conclusion Holistic approaches such as case management have a strong potential to improve retention in care and adherence to ART. HIV is a complex disease which impacts different facets of an individual’s life, hence requires holistic care to address all facets. Health systems need to transition towards holistic care to ensure that some patients do not slip through the cracks, improve patient outcomes and efficiency.en_US
dc.identifier.apacitationChinyandura, C., Jiyane, A., Tsalong, X., Struthers, H. E., McIntyre, J. A., & Rees, K. (2022). Supporting retention in HIV care through a holistic, patient-centred approach: a qualitative evaluation. <i>BMC Psychology</i>, 10(1), 17. http://hdl.handle.net/11427/36302en_ZA
dc.identifier.chicagocitationChinyandura, Cathrine, Anele Jiyane, Xolani Tsalong, Helen E Struthers, James A McIntyre, and Kate Rees "Supporting retention in HIV care through a holistic, patient-centred approach: a qualitative evaluation." <i>BMC Psychology</i> 10, 1. (2022): 17. http://hdl.handle.net/11427/36302en_ZA
dc.identifier.citationChinyandura, C., Jiyane, A., Tsalong, X., Struthers, H.E., McIntyre, J.A. & Rees, K. 2022. Supporting retention in HIV care through a holistic, patient-centred approach: a qualitative evaluation. <i>BMC Psychology.</i> 10(1):17. http://hdl.handle.net/11427/36302en_ZA
dc.identifier.ris TY - Journal Article AU - Chinyandura, Cathrine AU - Jiyane, Anele AU - Tsalong, Xolani AU - Struthers, Helen E AU - McIntyre, James A AU - Rees, Kate AB - Background HIV is a complex disease which affects different facets (social, economic, physical, emotional and spiral) of an individual’s life, making the goals of retention in care and adherence to treatment difficult to achieve. Holistic patient-centred approaches to providing care for people living with HIV bind together economic, social, emotional and physiological aspects and have the potential to improve retention in care and ART adherence. Case management is a holistic, patient-centred approach which is increasingly being implemented in the management of chronic illnesses. Methods We conducted a qualitative study based on semi-structured interviews with key informants (retention officers and social auxiliary workers) and patients. A total of 60 patients and 17 KIs (11 retention officers and 6 social auxiliary workers) participated in the study. The study was conducted in Johannesburg District, Gauteng province, South Africa. Key informants (KIs) and patients were drawn from 8 health facilities located in four management clusters of the district. Results The findings identified facilitators and barriers to adherence and retention in care, and demonstrated that case management offered holistic, patient-centred services which patients considered to be beneficial to their well-being and helped them overcome some of these barriers. The success of case management was driven by its holistic and patient-centred approach, which extended the focus to patients’ non-clinical needs which impact on their quality of life. Complex interacting barriers and facilitators at different levels influenced implementation of the model and its outcomes. Conclusion Holistic approaches such as case management have a strong potential to improve retention in care and adherence to ART. HIV is a complex disease which impacts different facets of an individual’s life, hence requires holistic care to address all facets. Health systems need to transition towards holistic care to ensure that some patients do not slip through the cracks, improve patient outcomes and efficiency. DA - 2022-01-29 DB - OpenUCT DP - University of Cape Town IS - 1 J1 - BMC Psychology KW - Case management KW - Retention KW - Treatment adherence KW - Holistic KW - Patient-centered care LK - https://open.uct.ac.za PY - 2022 T1 - Supporting retention in HIV care through a holistic, patient-centred approach: a qualitative evaluation TI - Supporting retention in HIV care through a holistic, patient-centred approach: a qualitative evaluation UR - http://hdl.handle.net/11427/36302 ER - en_ZA
dc.identifier.urihttps://doi.org/10.1186/s40359-022-00722-x
dc.identifier.urihttp://hdl.handle.net/11427/36302
dc.identifier.vancouvercitationChinyandura C, Jiyane A, Tsalong X, Struthers HE, McIntyre JA, Rees K. Supporting retention in HIV care through a holistic, patient-centred approach: a qualitative evaluation. BMC Psychology. 2022;10(1):17. http://hdl.handle.net/11427/36302.en_ZA
dc.language.isoenen_US
dc.language.rfc3066en
dc.rights.holderThe Author(s)
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en_US
dc.sourceBMC Psychologyen_US
dc.source.journalissue1en_US
dc.source.journalvolume10en_US
dc.source.pagination17en_US
dc.source.urihttps://bmcpsychology.biomedcentral.com/
dc.subjectCase managementen_US
dc.subjectRetentionen_US
dc.subjectTreatment adherenceen_US
dc.subjectHolisticen_US
dc.subjectPatient-centered careen_US
dc.titleSupporting retention in HIV care through a holistic, patient-centred approach: a qualitative evaluationen_US
dc.typeJournal Articleen_US
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