Imperial College London
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ProfessorSophiaDay

Faculty of Medicine, School of Public Health

Principal Research Fellow
 
 
 
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Contact

 

+44 (0)20 7594 8113s.day

 
 
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Location

 

School of Public HealthWhite City Campus

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Summary

 

Publications

Citation

BibTex format

@article{Rai:2019:10.3399/bjgpopen19X101665,
author = {Rai, T and Bruton, P and Kall, M and Ma, R and Pufall, E and Day, S and Delpech, V and Ward, H},
doi = {10.3399/bjgpopen19X101665},
journal = {British Journal of General Practice},
title = {Experience of primary care for people with HIV: a mixed-method analysis},
url = {http://dx.doi.org/10.3399/bjgpopen19X101665},
volume = {3},
year = {2019}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - BackgroundAdvances in treatment have transformed HIV into a long-term condition (LTC), presenting freshchallenges for health services, HIV specialists and general practitioners (GPs).AimTo explore the experience of people living with HIV (PLHIV) regarding using their GPs.Design and settingA mixed-method analysis using data from two sources: a nationally-representative survey of PLHIVand a qualitative study with London-based PLHIV.MethodsUnivariate logistic regression for quantitative data and Framework analysis for qualitative data.ResultsThe survey had 4,422 participants; the qualitative study included 52 participants. In both studies, GPregistration and HIV status disclosure were high. Similar to general population trends, recent GP usewas associated with poor self-rated health status, co-morbidities, older age and lower socioeconomic status. Two-thirds reported a good experience with GPs; a lower proportion feltcomfortable asking HIV-related questions. Actual or perceived HIV stigma were consistentlyassociated with poor satisfaction. In the interviews, participants with additional LTCs valuedsensitive and consistent support from GPs. Some anticipated, and sometimes experienced, problems relating to HIV status, GPs’ limited experience and time to manage their complex needs. Sometimesthey took their own initiatives to facilitate coordination and communication. For PLHIV, a ‘good’ GPoffered continuity and took time to know and accept them without judgement.ConclusionWe suggest clarification of roles and provision of relevant support to build confidence in GPs andprimary care staff to care for PLHIV. As PLHIV population ages, there is a strong need to developtrusting patient/GP relationships and HIV-friendly GP practices.
AU  - Rai,T
AU  - Bruton,P
AU  - Kall,M
AU  - Ma,R
AU  - Pufall,E
AU  - Day,S
AU  - Delpech,V
AU  - Ward,H
DO  - 10.3399/bjgpopen19X101665
PY  - 2019///
SN  - 0960-1643
TI  - Experience of primary care for people with HIV: a mixed-method analysis
T2  - British Journal of General Practice
UR  - http://dx.doi.org/10.3399/bjgpopen19X101665
UR  - http://hdl.handle.net/10044/1/71806
VL  - 3
ER  -
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