Patient and clinician preferences for diabetes management among older adults with co-morbid HIV: A qualitative exploration
Year: 2024
Type: article
Abstract: BACKGROUND: Older adults with HIV are at increased risk of developing certain chronic health conditions including type 2 diabetes mellitus (T2DM). As the number and complexity of conditions increases, so do treatment and health care needs. We explored patient and clinician preferences for HIV+T2DM care and perceived solutions to improving care. METHODS: We conducted an exploratory qualitative study comprised of individual in-depth interviews. Participants included English-speaking patients aged 50 and older living with HIV and T2DM and infectious disease (ID) and primary care (PC) clinicians from a large academic health center in Chicago. Thematic analysis drew from the Framework Method. RESULTS: A total of 19 patient and 10 clinician participants were interviewed. Many patients reported seeking HIV and T2DM care from the same clinician; they valued rapport and a 'one-stop-shop'. Others reported having separate clinicians; they valued perceived expertise and specialty care. Nearly all clinicians reported comfort screening for T2DM and initiating first line oral therapy; ID clinicians reported placing referrals for newer, complex therapies. Patients would like educational support for T2DM management; clinicians would like to learn more about newer therapies and easier referral processes. CONCLUSIONS: Patient-centered care includes managing T2DM from a variety of clinical settings for individuals with HIV, yet strategies are needed to better support clinicians. Future research should examine how best to implement these strategies.
Source: PLoS ONE
Institution: Northwestern University
Language: English
Subfield: Emergency Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $2,290
Funders: Gordon and Betty Moore Foundation, Eli Lilly and Company, Pfizer, Sanofi, Gilead Sciences, Northwestern University, University of Chicago, UnitedHealth Group, University of Westminster, H. Lundbeck A/S, National Institutes of Health, Directorate for Biological Sciences, Feinberg School of Medicine, Chicago Center for Diabetes Translation Research, National Institute on Aging, National Heart, Lung, and Blood Institute, National Institute of Diabetes and Digestive and Kidney Diseases, National Center for Advancing Translational Sciences
Awards: G1679481751, G3515949408, G4517371900, Northwestern University Clinical and Translational Science Institute (NUCATS), Third Coast HIV-Related Cardiovascular and Sleep Disorders K12 Career Development Program, G5145007563, G5884829157, The Claude D. Pepper Older Americans Independence Center (OAIC) at Northwestern University, G7707125228, G9000196732, Chicago Center for Diabetes Translation Research, HIV Clinic-based Screening for Geriatric Syndromes in Older Adults with HIV
OpenAlex ID: W4396905357