medigraphic.com
Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán

2015, Number 2

<< Back Next >>

Rev Invest Clin 2015; 67 (2)

Satisfaction with Healthcare Services and Adherence to Antiretroviral Therapy among Patients with HIV Attending Two Public Institutions

Pérez-Salgado D, Compean-Dardón MS, Staines-Orozco MG, Ortiz-Hernández L

Language: English
References: 28
Page: 80-88
PDF size: 183.95 Kb.


ABSTRACT

Background: Discontinuation of antiretroviral therapy has adverse consequences in HIV patients and is a major public health problem. We analyzed the relationship between satisfaction with healthcare services and adherence to antiretroviral therapy among patients with HIV in Mexico City. Material and Methods: We conducted a cross-sectional study with patients with HIV (n = 557) who were treated in two public institutions. An ad hoc questionnaire was used to assess perceived satisfaction with healthcare services (i.e. physician/patient relationship, performance of services, and administrative aspects with focus on specific areas) and adherence to HIV treatment (i.e. failure to take antiretroviral therapy on previous day, week, and month). Results: The higher prevalence of non-adherence to antiretroviral therapy was during the previous month (23.5%). Dissatisfied patients with the relationship with their physician were more likely to have low adherence during the previous month (OR: 1.90; p ‹ 0.05). Those who were dissatisfied with the care provided in specific clinical areas had low adherence (OR: 1.67; p = 0.051), but the difference disappeared (OR: 1.26; p = 0.443) after adjusting for satisfaction with physician/patient relationship. Conclusions: The quality of the relationship between physician and patients is an aspect that impacts on adherence to antiretroviral therapy. It is necessary to promote effective communication between health personnel and patients with HIV.


REFERENCES

  1. Worls Health Organization. HIV/AIDS. Data and figures. Available at: http://www.who.int/mediacentre/factsheets/fs360/es/. [Accessesd 7 June 2013].

  2. Centro Nacional para la Prevención y el Control del VIH/SIDA (CENSIDA). Vigilancia Epidemiológica de casos de VIH/SIDA en México. Registro Nacional de Casos de SIDA. 2012. Available at: http://www.censida.salud.gob.mx/descargas/2012/sida_ vih30sept2012pub.pdf

  3. Centro Nacional para la Prevención y el Control del VIH/SIDA (CENSIDA). El VIH/SIDA en México 2012. México 2012. Available at: http://www.censida.salud.gob.mx/descargas/biblioteca/ VIHSIDA_MEX2012.pdf

  4. ONUSIDA. Worl information from ONUSIDA about the worlwide AIDS epidemic. 2012. Available at: http://www.unaids.org/en/ media/unaids/contentassets/documents/epidemiology/2012/ gr2012/20121120_UNAIDS_Global_Report_2012_with_annexes_ es.pdf.

  5. Perez-Saleme LM, Hernandez-Tepichin G. Epidemiology of HIV infection: twenty-years of experience. Rev Invest Clin. 2004; 56:134-42.

  6. Power R, Koopman C, Volk J, et al. Social support, substance use, and denial in relationship to antiretroviral treatment adherence among HIV-infected persons. AIDS Patient Care STDS. 2003; 17:245-52.

  7. Mayer KH, Wheeler DP, Bekker LG, et al. Overcoming biological, behavioral, and structural vulnerabilities: new directions in research to decrease HIV transmission in men who have sex with men. J Acquir Immune Defic Syndr. 2013;63(Suppl 2):S161-7.

  8. Kincey J, Bradshaw P. Patients satisfaction and reported acceptance of advice in general practice. J R Coll Gen Pract. 1975;25:558-66.

  9. Becker MH, Maiman LA. Strategies for enhancing patient compliance. J Community Health. 1980;6:113-35.

  10. Herrera C, Campero L, Caballero M, Kendall T. Relationship between physicians and HIV patients: influence on adherence and quality of life. Rev Saude Publica. 2008;42.

  11. Murphy DA, Roberts KJ, Hoffman D, Molina A, Lu MC. Barriers and successful strategies to antiretroviral adherence among HIV-infected monolingual Spanish-speaking patients. Aids Care. 2003;15:217-30.

  12. Malta M, Petersen ML, Clair S, Freitas F, Bastos FI. Adherence to antiretroviral therapy: a qualitative study with physicians from Rio de Janeiro, Brazil. Cad Saude Publica. 2005;21:1424-32.

  13. Flickinger TE, Saha S, Moore RD, Beach MC. Higher quality communication and relationships are associated with improved patient engagement in HIV care. J AIDS. 2013;63:362-6.

  14. Dang BN, Westbrook RA, Black WC, Rodriguez-Barradas MC, Giordano TP. Examining the link between patient satisfaction and adherence to HIV care: a structural equation model. Plos One. 2013;8:e54729.

  15. Consellería de Sanidade, Xunta de Galicia, España; Organización Panamericana de la Salud (OPS-OMS); Universidad CES, Colombia; EPIDAT. Programa para análisis epidemiológico de datos. Versión 4.1. Edición 2014.

  16. Doubova SV, Perez-Cuevas R, Zepeda-Arias M, Flores-Hernandez S. Satisfaction of patients suffering from type 2 diabetes and/or hypertension with care offered in family medicine clinics in Mexico. Salud Publica Mex. 2009;51:231-9.

  17. Rattray J, Jones MC. Essential elements of questionnaire design and development. J Clin Nurs. 2007;16 234-43.

  18. Murphy DA, Marelich WD, Hoffman D, Steers WN. Predictors of antiretroviral adherence. AIDS Care. 2004;16:471-84.

  19. Singh N, Squier C, Sivek C, Wagener M, Nguyen MH, Yu VL. Determinants of compliance with antiretroviral therapy in patients with human immunodeficiency virus: prospective assessment with implications for enhancing compliance. AIDS Care. 1996;8:261-9.

  20. Gordillo V, del Amo J, Soriano V, Gonzalez-Lahoz J. Sociodemographic and psychological variables influencing adherence to antiretroviral therapy. AIDS. 1999;13:1763-9.

  21. Schneider J, Kaplan SH, Greenfield S, Li WJ, Wilson IB. Better physician-patient relationships are associated with higher reported adherence to antiretroviral therapy in patients with HIV infection. J Gen Intern Med. 2004;19:1096-103.

  22. Beach MC, Keruly J, Moore RD. Is the quality of the patient-provider relationship associated with better adherence and health outcomes for patients with HIV? J Gen Intern Med. 2006;21:661-5.

  23. Arroyo-Valerio AG, Cortes-Poza D, Aguirre Hernandez R, Fuentes Garcia R, Ramirez de la Roche OF, Hamui Sutton A. Las relaciones interpersonales: percepción de la comunicación, trato y experiencias adversas en los usuarios de las unidades médicas pertenecientes a la Comisión Coordinadora de Institutos Nacionales de Salud y Hospitales de Alta Especialidad (CCINSHAE). Gac Med Mex. 2013;149:134-42.

  24. Murri R, Antinori A, Ammassari A, et al. Physician estimates of adherence and the patient-physician relationship as a setting to improve adherence to antiretroviral therapy. J Acquir Immune Defic Syndr. 2002;31(Suppl 3):S158-62.

  25. Miller WR, Rollnick S. Motivational Interviewing. Second Edition. New York: The Guilford Press; 2002.

  26. Nieuwkerk PT, Oort FJ. Self-reported adherence to antiretroviral therapy for HIV-1 infection and virologic treatment response: a meta-analysis. J Acquir Immune Defic Syndr. 2005;38:445-8.

  27. Reynolds NR, Sun J, Nagaraja HN, Gifford AL, Wu AW, Chesney MA. Optimizing measurement of self-reported adherence with the ACTG Adherence Questionnaire: a cross-protocol analysis. J Acquir Immune Defic Syndr. 2007;46:402-9.

  28. Gutiérrez JP, Balandran DA, Romero M. [Antiretroviral adherence evaluation in México: 4-day adherence recall vs. the adherence index]. Rev Invest Clin. 2013;65:384-91.




2020     |     www.medigraphic.com