Challenges Facing Providers Caring for HIV/HCV-Coinfected Patients
Bibliographic Data
| ID | 4680443 |
|---|---|
| Authors | Helen-Maria Lekas (0000-0003-3582-9372, Columbia University, New York, New York, USA), Karolynn Siegel (0000-0001-8208-5949, Columbia University, New York, New York, USA), Jason Leider (0000-0002-5435-8898, North Bronx Health Care Network, Bronx, New York, USA) |
| Year | 2012 |
| Volume | 22 |
| Issue | 1 |
| Pages | 54-66 |
| Publication date | 2012-01-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Qualitative Health Research (JOURNAL) |
| Journal identifiers | ISSN: 1049-7323 • E-ISSN: 1552-7557 |
| Publisher | SAGE Publications Inc (PUBLISHER) |
| DOI | 10.1177/1049732311418248 |
| PMID | 21825278 |
| PMCID | PMC4323265 |
| OpenAlex | W2098070919 |
| Language | EN |
| References cited | 27 |
Despite the high prevalence of hepatitis C virus (HCV) infection among injection drug users also infected with human immunodeficiency virus (HIV), and the synergistic adverse effect of the two diseases on patients' health and survival, research on the clinical management of these patients and particularly the low uptake of HCV therapy is limited. We conducted qualitative interviews with 17 HIV providers from two urban public hospitals. We discovered that the limitations of the current state of medical knowledge, the severe side effects of HIV and HCV therapies, and the psychosocial vulnerability of HIV/HCV-coinfected patients combined with their resistance to becoming informed about HCV posed significant challenges for providers. To contend with these challenges, providers incorporated key dimensions of patient-centered medicine in their practice, such as considering their patients' psychosocial profiles and the meaning patients assign to being coinfected, and finding ways to engage their patients in a therapeutic alliance
Adverse effect · Family medicine · Hepatitis C · Hepatitis C virus · Intensive care medicine · Psychiatry · Psychosocial · Public health · Qualitative research · Virus · Hepatitis C virus research · HIV, Drug Use, Sexual Risk · Liver Disease Diagnosis and Treatment · Medicine · Nursing · Immunology · Internal Medicine
| Citation velocity | historical |
|---|---|
| Highly cited | No |