How the Past Matters in HIV Healthcare Delivery

A. Pacho
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Abstract

In this article, I contribute to the scholarship that engages with the complexity of social factors in HIV/AIDS healthcare delivery. I draw attention to elements of care that occur on the margins of what is required by biomedical treatment regimens. I demonstrate how the contexts in which HIV healthcare is delivered can be expanded by being mindful of the history of the epidemic and its impact on gay communities. Drawing on ethnographic observations and semi-structured interviews with patients and healthcare professionals in an HIV clinic, I center history crucial for survivors of the epidemic. I propose this as a strategy for building an inclusive approach to understanding HIV healthcare, which regards an integral history as a resource in care delivery practices.
艾滋病毒医疗服务的过去如何影响
在这篇文章中,我致力于研究艾滋病毒/艾滋病医疗保健服务中社会因素的复杂性。我提请注意发生在生物医学治疗方案所要求的边缘的护理要素。我展示了如何通过注意该流行病的历史及其对同性恋社区的影响来扩大提供艾滋病毒医疗保健的背景。根据人种学观察和对艾滋病毒诊所的患者和医疗保健专业人员的半结构化访谈,我将历史置于对该流行病幸存者至关重要的位置。我建议将此作为一种战略,以建立一种理解艾滋病毒保健的包容性方法,将完整的历史视为提供护理实践的资源。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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