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Table 5 Most valued aspects of care

From: Which aspects of health care are most valued by people living with HIV in high-income countries? A systematic review

Study

Measure Used

Most Valued Aspects of Care

Dang et al. (2012)

Developed a 22-item questionnaire based on validated tools, exploring perceptions of various aspects of the care provided and overall satisfaction.

The aspects of care most strongly associated with overall satisfaction were:

1) Satisfaction with the HIV provider (e.g. doctor, nurse)

2) Facility environment (e.g. noise, cleanliness)

3) Ease of calling the clinic and getting answers

4) Clinic staff (e.g. receptionist)

Davis-Michaud et al. (2004)

Participants were given 18 attributes of care on cards and asked to sort into piles according to the level of importance.

The most important factors:

1) Relationship with care providers

2) Prevention of opportunistic infections

3) Involvement in care and treatment decisions

4) Being offered ART

Hekkink et al. (2003)

QUOTE-HIV – participants rated the importance of 27 aspects of HIV care delivered by GPs, specialist doctors and nurse consultants.

Most important aspects of care:

Specialists

1) Have special knowledge of HIV

2) Give information about possible side effects of drugs

3) Inform me about the pros and cons of a treatment

4) Give information about the use of my HIV medication

GPs

1) Take me seriously

2) Maintain confidentiality about my HIV status

3) Take my opinion into account

4) Inform me about the pros and cons of a treatment

HIV Consultant Nurse

1) Have special knowledge of HIV

2) Take me seriously

3) Give information about the use of my HIV medication

4) Maintain confidentiality about my HIV status

Hekkink et al. (2005)

QUOTE-HIV – participants rated the importance of 27 aspects of care received from HIV nurse consultant.

Aspects of care rated most important:

1) Has special knowledge about HIV

2) Takes me seriously

3) Maintains confidentiality about my HIV status

4) Can easily be reached by phone

Hope et al. (2001)

A questionnaire was developed for the study assessing the importance of a range of service attributes.

Aspects of care rated as ‘essential’ by >75% participants:

1) Treatment by specialists

2) Up-to-date treatment

3) Caring clinic

4) Individual requirements

5) Efficient outpatient service

6) Walk in service

Moore et al. (2010)

QUOTE-HIV – participants rated the importance of the various aspects of care they receive from their specialist.

Aspects of care rated most important:

1) Provides an explanation, in language that I can understand, concerning prescribed medicines

2) Tells me what the possible side effects of a medicine are

3) Provides information about how I should take the prescribed HIV medication

4) Includes me in decision making regarding the treatment that I receive