Perspectives of Chronic Disease Management Among Persons with HIV: A Qualitative Study
Authors Mkumba L, Muiruri C, Garg K, Watt MH, Okeke NL
Received 17 October 2020
Accepted for publication 12 December 2020
Published 13 January 2021 Volume 2021:15 Pages 49—55
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Johnny Chen
Laura Mkumba,1 Charles Muiruri,2 Keva Garg,3 Melissa H Watt,4 Nwora Lance Okeke5
1FHI360, Durham, NC, USA; 2Department of Population Health Sciences, Duke University, Durham, NC, USA; 3Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA; 4Department of Population Health Sciences, University of Utah, Salt Lake City, UT, USA; 5Division of Infectious Diseases, Duke University Medical Center, Durham, NC, USA
Correspondence: Nwora Lance Okeke
Duke University Medical Center, 315 Trent Drive, Rm. 178, Durham, NC 27707, USA
Tel +1 919 684 2579
Fax + 1 919 681 7494
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, primary care, non-communicable diseases, patient perspectives