Systematic Review Of HIV-Infected Adults

Adults with HIV are more likely to continue life-saving treatments if their primary health care providers show respect; unconditional empathy without judgement and demonstrating an ability to partner with patients in decision making to address their goals.

The study showing that the complexity of the illness, treatment regimen and overall healthcare system frequently overwhelms the patient and fear of stigma often prevents them from beginning or continuing treatment.

HIV-infected adults

The researchers finding that patients need help in understanding their illness and care; needs using understandable language to translate complex information; letting patients know what to expect and reinforcing that HIV is now a treatable, yet complex; chronic illness.

But today, HIV is considered a chronic; treatable condition. However, this study found that many patients continue to view it as a death sentence. The researchers included 41 studies published between 1997 to 2017. The sample populations included adults with HIV and their healthcare providers.

However, all adults with HIV were between the ages of 18 and 65, represented diverse races and ethnicities; sexual orientations and gender identities.  Healthcare providers included physicians, nurse practitioners, physician assistants, pharmacists; social workers and others. The included studies had 1,597 participants.

Healthcare system

But the researchers noting that providers who help patients navigate the health system, offer one-stop location of services and provide connections to psychological support, health insurance, medicine; transportation and other services, can help their patients stay engaged in care.

However, primary healthcare providers can enroll in professional education to improve their knowledge about HIV, use of motivational interviewing skills and seek opportunities for experiential learning, observation and hands on practice working directly with patients with HIV.

The review included studies reporting on the qualitative experiences of HIV-infected adults, aged 18–65 years, with healthcare systems, practices and processes and their healthcare providers. Qualitative studies including but not limiting to designs such as phenomenology, ethnography, grounded theory; action research and qualitative descriptive were including. Studies publishing in languages other than English and conducted outside of the US were excluding.