{"id":3639,"date":"2022-12-16T19:56:57","date_gmt":"2022-12-16T18:56:57","guid":{"rendered":"https:\/\/humanizacjamedycyny.webprev.net\/?p=3639"},"modified":"2022-12-16T19:57:00","modified_gmt":"2022-12-16T18:57:00","slug":"physicians-communication-with-patients-about-adherence-to-hiv-medication-in-san-francisco-and-copenhagen-a-qualitative-study-using-grounded-theory","status":"publish","type":"post","link":"https:\/\/www.humanizacjamedycyny.pl\/en\/physicians-communication-with-patients-about-adherence-to-hiv-medication-in-san-francisco-and-copenhagen-a-qualitative-study-using-grounded-theory\/","title":{"rendered":"Physicians' communication with patients about adherence to HIV medication in San Francisco and Copenhagen: a qualitative study using Grounded Theory"},"content":{"rendered":"<p class=\"wp-block-paragraph\">Poor adherence to treatment is a major barrier to the effectiveness of HIV medicines. The aim of this study was to explore and conceptualise patterns and difficulties in doctors' work related to patient adherence to HIV medication. No previous studies on this topic have directly observed doctors' behaviour. Doctors were observed during their clinical work and then interviewed with a semi-structured interview guide. <strong>Discovered<\/strong>, that doctors and patients rarely discussed adherence in depth, the study focused on adherence communication and its barriers. The main patterns in doctors' communication with patients about adherence were similar in both cases. A significant barrier to in-depth communication about adherence was that some doctors felt it would be uncomfortable to explore the possibility of non-adherence if there were no objective signs of treatment failure, as patients might feel 'accused'. To overcome this awkwardness, some physicians consciously tried to 'deter' patients for non-adherence. A simple four-step, three-factor model of doctors' communication about adherence was developed. Difficulties in communication were a major barrier in doctors' work related to patients' adherence to HIV medication. The proposed model of physicians' communication with patients about adherence - and the identification of awkwardness and trustworthiness as key issues - may help rethink this topic for use in clinical practice and future research.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMc1661624\/\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMc1661624\/<\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>S\u0142abe przestrzeganie zalece\u0144 terapeutycznych jest g\u0142\u00f3wn\u0105 przeszkod\u0105 w skuteczno\u015bci lek\u00f3w na HIV. Celem tego badania by\u0142o zbadanie i konceptualizacja wzorc\u00f3w i trudno\u015bci w pracy lekarzy zwi\u0105zanej z przestrzeganiem przez pacjent\u00f3w lek\u00f3w na HIV. W \u017cadnych wcze\u015bniejszych badaniach na ten temat\u00a0 nie\u00a0 obserwowano\u00a0 bezpo\u015brednio\u00a0 zachowania lekarzy. Lekarze byli obserwowani podczas ich pracy klinicznej, a nast\u0119pnie przeprowadzali [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"off","_et_pb_old_content":"","_et_gb_content_width":"","inline_featured_image":false,"footnotes":""},"categories":[35],"tags":[],"class_list":["post-3639","post","type-post","status-publish","format-standard","hentry","category-zalecenia-lekarza"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Physicians&#039; communication with patients about adherence to HIV medication in San Francisco and Copenhagen: a qualitative study using Grounded Theory - Humanizacja medycyny<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.humanizacjamedycyny.pl\/en\/physicians-communication-with-patients-about-adherence-to-hiv-medication-in-san-francisco-and-copenhagen-a-qualitative-study-using-grounded-theory\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Physicians&#039; communication with patients about adherence to HIV medication in San Francisco and Copenhagen: a qualitative study using Grounded Theory - Humanizacja medycyny\" \/>\n<meta property=\"og:description\" content=\"S\u0142abe przestrzeganie zalece\u0144 terapeutycznych jest g\u0142\u00f3wn\u0105 przeszkod\u0105 w skuteczno\u015bci lek\u00f3w na HIV. Celem tego badania by\u0142o zbadanie i konceptualizacja wzorc\u00f3w i trudno\u015bci w pracy lekarzy zwi\u0105zanej z przestrzeganiem przez pacjent\u00f3w lek\u00f3w na HIV. W \u017cadnych wcze\u015bniejszych badaniach na ten temat\u00a0 nie\u00a0 obserwowano\u00a0 bezpo\u015brednio\u00a0 zachowania lekarzy. 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