How can we achieve person-centred care for people living with HIV/AIDS?: A qualitative interview study with healthcare professionals and patients in Ghana

Mary Abboah-Offei; Katherine Bristowe; Jonathan Koffman; Naa Ashiley Vanderpuye-Donton; Gloria Ansa; Melanie Abas; Irene Higginson; Richard Harding

doi:10.1080/09540121.2019.1698708

How can we achieve person-centred care for people living with HIV/AIDS? A qualitative interview study with healthcare professionals and patients in Ghana

Mary Abboah-Offei, Katherine Bristowe, Jonathan Koffman, Naa Ashiley Vanderpuye-Donton, Gloria Ansa, Melanie Abas, Irene Higginson, Richard Harding

Research output: Contribution to journal › Article › peer-review

Abstract

Although person-centred care (PCC) has been identified as a means to achieve the 90-90-90 targets, limited research has considered PCC in low- or middle-income settings. We aimed to explore what constitutes PCC from the perspectives of PLWHA and healthcare professionals (HCP) in Ghana. We conducted 39 semi-structured qualitative interviews with PLWHA and HCP in two community clinics in Ghana, West Africa. Interviews were analysed deductively using thematic analysis, and sampling continued until thematic saturation was achieved. Twenty-four PLWHA (median age 42.5, 50% female) and 15 HCP (median age 34, 53% female) were interviewed. Three interconnected themes emerged across PLWHA and HCP: (1) care structures not built around the person, (2) priority outcomes and components of PCC and (3) re-engineering HIV care to be more person-centred. A conceptual model showing the overlap between PLWHA and HCP's perspectives of PCC and a framework to inform PCC delivery have been developed from these findings. Our data revealed that PLWHA want PCC to improve care outcomes, well-being and quality of life. Further testing of this model is required to inform PCC delivery for PLWHA in low- and middle-income countries.

Original language	English
Number of pages	11
Journal	AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV
Early online date	4 Dec 2019
DOIs	https://doi.org/10.1080/09540121.2019.1698708
Publication status	E-pub ahead of print - 4 Dec 2019

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10.1080/09540121.2019.1698708

https://kclpure.kcl.ac.uk/portal/en/publications/how-can-we-achieve-personcentred-care-for-people-living-with-hivaids-a-qualitative-interview-study-with-healthcare-professionals-and-patients-in-ghana(db252310-8125-4a56-b4ce-fb180ffc3b79).html

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Abboah-Offei, M., Bristowe, K., Koffman, J., Vanderpuye-Donton, N. A., Ansa, G., Abas, M., Higginson, I., & Harding, R. (2019). How can we achieve person-centred care for people living with HIV/AIDS? A qualitative interview study with healthcare professionals and patients in Ghana. AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV. Advance online publication. https://doi.org/10.1080/09540121.2019.1698708

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abstract = "Although person-centred care (PCC) has been identified as a means to achieve the 90-90-90 targets, limited research has considered PCC in low- or middle-income settings. We aimed to explore what constitutes PCC from the perspectives of PLWHA and healthcare professionals (HCP) in Ghana. We conducted 39 semi-structured qualitative interviews with PLWHA and HCP in two community clinics in Ghana, West Africa. Interviews were analysed deductively using thematic analysis, and sampling continued until thematic saturation was achieved. Twenty-four PLWHA (median age 42.5, 50% female) and 15 HCP (median age 34, 53% female) were interviewed. Three interconnected themes emerged across PLWHA and HCP: (1) care structures not built around the person, (2) priority outcomes and components of PCC and (3) re-engineering HIV care to be more person-centred. A conceptual model showing the overlap between PLWHA and HCP's perspectives of PCC and a framework to inform PCC delivery have been developed from these findings. Our data revealed that PLWHA want PCC to improve care outcomes, well-being and quality of life. Further testing of this model is required to inform PCC delivery for PLWHA in low- and middle-income countries.",

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Abboah-Offei, M, Bristowe, K, Koffman, J, Vanderpuye-Donton, NA, Ansa, G, Abas, M, Higginson, I & Harding, R 2019, 'How can we achieve person-centred care for people living with HIV/AIDS? A qualitative interview study with healthcare professionals and patients in Ghana', AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV. https://doi.org/10.1080/09540121.2019.1698708

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