A Multiple Source Qualitative Case Study of Person-Centered Care in HIV Care Delivered to Adults Living With HIV by Chile's Public Health Care System.

Abstract

Abstract: In Chile, little research exists depicting how a person-centered care (PCC) model is translated into clinical practice. A multiple-source qualitative case study design was used to analyze which elements of PCC are implemented in care for people living with HIV (PLWH). Data collection included documentary analysis of national governance documents and semi-structured interviews conducted within two public hospitals in Chile with health care providers (HCPs) and PLWH. Data analysis identified five key elements PCC used in HIV clinical practice in Chile. Participants and governance documents highlighted "access to care" as a key element in PCC care. "Patient safety" was highly represented in governance documents. For HCPs and PLWH, "essential characteristics of HCPs" and "trusting relationship" were the main elements in HIV care. Simultaneously, "access to care," "essential characteristics of HCP," "adequate communication," and "patient safety" have a considerable margin of improvement. Challenges associated with fitting HIV as a chronic condition persist.