The mysteries and demands of HIV care
Qualitative analyses of HIV specialists’ views on their expertise
Bibliographic Data
| ID | 19443587 |
|---|---|
| Authors | Barbara Gerbert (University of California, San Francisco), Nona Caspers (University of California, San Francisco), J Moe (University of California System), James C Moe (University of California, San Francisco), Kathleen Clanon (Alameda Health System), P Abercrombie (c Department of Obstetrics, Gynecology and Reproductive Sciences , San Francisco General Hospital, University of California , San Francisco , California , USA), Priscilla D Abercrombie (San Francisco General Hospital), Karen Herzig (University of California, San Francisco) |
| Year | 2004 |
| Volume | 16 |
| Issue | 3 |
| Pages | 363-376 |
| Publication date | 2004-04-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | AIDS Care (JOURNAL) |
| Journal identifiers | ISSN: 0954-0121 • E-ISSN: 1360-0451 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/09540120410001665367 |
| PMID | 15203429 |
| OpenAlex | W2076037900 |
| Language | EN |
| Citations received | 5 |
| References cited | 31 |
To deepen our understanding of the mysteries and demands associated with HIV care and to inform the debate about HIV specialization, we conducted in-depth interviews with a purposive sample of 20 identified HIV specialists in the San Francisco Bay Area. Participants were from several medical specialties and reported a median of 50% of their time spent in HIV patient care. Through constant comparison, a template of open codes was constructed to identify themes that emerged from the data. Data were analyzed according to the conventions of qualitative research and revealed six interrelated themes: (1) coping with uncertainty and rapid change: being 'comfortable with mystery'; (2) the powerful role of experience; (3) the dual faces of knowledge: 'knowing the patient' and 'knowing the facts'; (4) the dual faces of passion: challenge and calling; (5) stress and burnout; and (6) the relationship between academia and 'the trenches'. The themes underscore the dual dimensions of HIV care: providers must interweave the 'half-baked' science about drug therapies, side effects and drug interactions with the psychosocial and lifestyle factors of the patient. They also provide insight into quantitative findings linking greater HIV experience with better patient outcomes and suggest that providers need skills associated with generalist and specialist training, a phenomenon that argues for a 'special' specialty for HIV care
Burnout · Family medicine · Medical education · Passion · Psychosocial · Psychotherapist · Qualitative research · Sociology · Specialty · Clinical Psychology · HIV-related health complications and treatments · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Nursing · Psychology · Social Psychology
Multi-method Analysis of Implementation Determinants and Strategies to Support the Implementation of Contingency Management for Methamphetamine Use in an HIV Care Setting
Impact on HIV test providers of giving a positive test result
Uncertainty and 'technological horizon' in qualitative interviews about HIV treatment
Health Care Provider Perspectives on Informal Supporters' Involvement in HIV Care
Managing uncertainty around HIV/Aids in an urban setting
| Citations per year | 0.24 |
|---|---|
| Citation span | 2005 - 2026 (22) |
| Highly cited | No |