HIV Infection as a Bio-Psycho-Social Phenomenon: Constraints and Opportunities for an Effective Response to the Epidemic

2021 ◽  
Vol 31 (1) ◽  
pp. 177-193

The article analyzes modern approaches to combatting the HIV epidemic including the potential and shortcomings of the nosocentric model, as well as the basic tools that encourage desirable behavior for the prevention and treatment of disease. Study of pre-contact prevention of HIV and COVID-19 infection among patients already infected with HIV shows that there is no direct relationship between awareness and patterns of preventive behavior. Potential ways to update the information available about the disease by making individuals aware of the risk of infection due to communication are examined. The author points out a lack of differentiation in communication strategies and underemphas is on informing people. The ideas of specialists about a direct relationship between information and the formation of desirable behavior are analyzed with regard to HIV infection. The opportunity to correct these ideas in the process of training specialists is explored, and the potential for attracting specialists by applying technologies that prevent emotional burnout is shown. The feasibility of an interdisciplinary patient-centered approach to providing medical care for HIV infection is confirmed. Factors that prevent the introduction of communication-based technologies in actual clinical practice are analyzed as are the trend toward a simplified guardianship approach to solving problems in the prevention of infection and the predominant use of monologue-based directive forms of communication. The formation of desirable behavior for prevention of HIV infection, commitment to maintaining health, and compliance with a dispensary’s regime for observation and treatment of HIV infection are considered as a two-way process of interaction in a system that embraces both the specialist and the patient.

1992 ◽  
Vol 16 (10) ◽  
pp. 638-639
Author(s):  
Neil Brener ◽  
Danitza Jadresic

It has been said that there is little likelihood of risk contact between people with learning disabilities in institutions and HIV infected people in the community and also that the shift of patients with learning disabilities from large institutions towards the community does not augur well for the prevention of HIV infection. There is little evidence for either of these views.


2018 ◽  
Vol 28 (2) ◽  
pp. 561-565
Author(s):  
Radost Assenova ◽  
Levena Kireva ◽  
Gergana Foreva

Background: Patients with multimorbidity represent a significant portion of the primary healthcare population. For healthcare providers, managing patients with multiple chronic conditions represents a challenge given the complexity and the intensity of interventions. Integrated and patient-centered care is considered an effective response to the needs of people who suffer from multiple chronic conditions. According to the literature providing patient-centered care is one of the most important interventions in terms of positive health-related outcomes for patients with multimorbidity.Aim: The aim of the study is to evaluate the GPs’ perception of patient oriented interventions as key elements of patient centred care for patients with multimorbidity.Material and methods: A cross-sectional pilot study was conducted among randomly selected 73 GPs. A direct individual anonymous survey was performed to explore the opinion of respondents about the importance of two patient-oriented interventions, each one including specific elements of patient-centered care for patients with multimorbidity. The tool was developed as a result of the scoping review performed by Smith et al. (2012;2016). A 5-point Likert scale (0-not at all, 1-little, 2-rather, 3-much, 4-very strong) was used. The data were analysed using descriptive statistics. In processing the data, the software product for statistical analyses - SPSS version 17 was performed for Windows XP.Results: Our results show that both categories - providing patient-oriented approach and self-management support interventions were highly accessed by the respondents. The most frequent categories of interventions identified in our study were Creating individualized and adapted interventions, Performing regular contacts and Reinforcing adherence. Less frequently reported elements such as Considering relatives’ needs and Developing self-management plan are still underestimated by the Bulgarian GPs.Conclusions: The acceptance and understanding of innovative patient-centered interventions adapted to patients with multimorbidity could be accepted as a good indicator for improving health-related outcomes and care for patients with multiple chronic conditions.


1995 ◽  
Vol 126 (1) ◽  
pp. 81-123 ◽  
Author(s):  
Wai-Yuan Tan ◽  
Sho Rong Lee ◽  
Si Chin Tang

2011 ◽  
Vol 270 (6) ◽  
pp. 509-519 ◽  
Author(s):  
C. G. Kelly ◽  
R. J. Shattock

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