دورية أكاديمية
أعرض في EDS

Patient and clinician preferences for diabetes management among older adults with co-morbid HIV: A qualitative exploration.

التفاصيل البيبلوغرافية
العنوان: Patient and clinician preferences for diabetes management among older adults with co-morbid HIV: A qualitative exploration.
المؤلفون: Pack AP; Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, United States of America., Masters MC; Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, United States of America., O'Conor R; Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, United States of America., Alcantara K; Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, United States of America., Svoboda S; Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, United States of America., Smith R; Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, United States of America., Yeh F; Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, United States of America., Wismer G; Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, United States of America., Wallia A; Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, United States of America.; Institute for Public Health and Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, United States of America., Bailey SC; Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, United States of America.
المصدر: PloS one [PLoS One] 2024 May 14; Vol. 19 (5), pp. e0303499. Date of Electronic Publication: 2024 May 14 (Print Publication: 2024).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE
أسماء مطبوعة: Original Publication: San Francisco, CA : Public Library of Science
مواضيع طبية MeSH: HIV Infections*/psychology , HIV Infections*/epidemiology , HIV Infections*/therapy , HIV Infections*/complications , Diabetes Mellitus, Type 2*/therapy , Diabetes Mellitus, Type 2*/psychology , Diabetes Mellitus, Type 2*/complications , Diabetes Mellitus, Type 2*/epidemiology , Patient Preference*/psychology , Qualitative Research*, Humans ; Female ; Male ; Middle Aged ; Aged ; Comorbidity ; Disease Management ; Chicago/epidemiology
مستخلص: Background: Older adults with HIV are at increased risk of developing certain chronic health conditions including type 2 diabetes mellitus (T2DM). As the number and complexity of conditions increases, so do treatment and health care needs. We explored patient and clinician preferences for HIV+T2DM care and perceived solutions to improving care.
Methods: We conducted an exploratory qualitative study comprised of individual in-depth interviews. Participants included English-speaking patients aged 50 and older living with HIV and T2DM and infectious disease (ID) and primary care (PC) clinicians from a large academic health center in Chicago. Thematic analysis drew from the Framework Method.
Results: A total of 19 patient and 10 clinician participants were interviewed. Many patients reported seeking HIV and T2DM care from the same clinician; they valued rapport and a 'one-stop-shop'. Others reported having separate clinicians; they valued perceived expertise and specialty care. Nearly all clinicians reported comfort screening for T2DM and initiating first line oral therapy; ID clinicians reported placing referrals for newer, complex therapies. Patients would like educational support for T2DM management; clinicians would like to learn more about newer therapies and easier referral processes.
Conclusions: Patient-centered care includes managing T2DM from a variety of clinical settings for individuals with HIV, yet strategies are needed to better support clinicians. Future research should examine how best to implement these strategies.
Competing Interests: APP reports grants from RRF Foundation for Aging and commercial funders Merck, Pfizer, Gordon and Betty Moore Foundation, Lundbeck, Gilead, and Eli Lilly through her institution; and personal fees from commercial funder Gilead. SCB reports grants from the NIH and RRF Foundation for Aging, and commercial funders Merck, Pfizer, Gordon and Betty Moore Foundation, Lundbeck, Gilead and Eli Lilly through her institution; and personal fees from commerical funders Gilead, Sanofi, Pfizer, University of Westminster, Lundbeck, and Luto outside the submitted work. MCM reports grants from the NIH and commerical funder Merck through her institution. AW reports grants from commerical funder NovoNordisk through her institution, and research salary support from UnitedHealth Group. This does not alter our adherence to PLOS ONE policies on sharing data and materials.
(Copyright: © 2024 Pack et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
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معلومات مُعتمدة: K23 AG082543 United States AG NIA NIH HHS
تواريخ الأحداث: Date Created: 20240514 Date Completed: 20240514 Latest Revision: 20240622
رمز التحديث: 20240622
مُعرف محوري في PubMed: PMC11093335
DOI: 10.1371/journal.pone.0303499
PMID: 38743699
قاعدة البيانات: MEDLINE
الوصف
تدمد:1932-6203
DOI:10.1371/journal.pone.0303499