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. 2021 Jan 13:15:49-55.
doi: 10.2147/PPA.S287325. eCollection 2021.

Perspectives of Chronic Disease Management Among Persons with HIV: A Qualitative Study

Laura Mkumba  1 , Charles Muiruri  2 , Keva Garg  3 , Melissa H Watt  4 , Nwora Lance Okeke  5
Affiliations

Perspectives of Chronic Disease Management Among Persons with HIV: A Qualitative Study

Laura Mkumba et al. Patient Prefer Adherence. .

Abstract

Introduction: Persons with HIV (PWH) are living to advanced age as a result of ART. These epidemiological changes highlight the importance of innovating chronic care delivery of PWH, but there is limited research regarding patient preferences for chronic care delivery.

Methods: We conducted in-depth interviews of 20 PWH who receive care at the Duke Infectious Diseases Clinic. Manuscript was coded and we used thematic analysis to identify emerging themes from interviewees' responses.

Results: Insights of the interviews revealed a strong affinity of PWH with their HIV providers and a reliance on them for primary care as a result. Participants also expressed a strong preference for receiving NCD care from a single provider, regardless of their current chronic disease care configuration. Participants also stated a willingness to embrace new roles of non-provider HIV clinic staff in their chronic disease care.

Conclusion: Overall, persons living with HIV prefer consolidation and co-location of their care, and are willing to endure minor inconveniences to accommodate this preference. Efforts towards promoting primary care integration into HIV clinics are warranted.

Keywords: chronic disease management; non-communicable diseases; patient perspectives; primary care.

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Conflict of interest statement

The authors report no conflicts of interest in this work.

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