Are patient outcomes improved by models of professionally-led community HIV management which aim to be person-centred? A review of the evidence

M. Abboah-Offei*, K. Bristowe, R. Harding

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

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Abstract

UNAIDS advocates person-centred care (PCC) for people living with HIV/AIDS (PLWHA) to improve outcomes and wellbeing. We appraised the evidence of person-centred models of community HIV care delivered or led by trained healthcare professionals and its impact on care outcomes. A systematic review was conducted in line with PRISMA guidance. Six electronic databases (CINAHL, Embase, PubMed, Medline, PsycINFO and Web of Science) were searched from January 1980 to April 2019. We included primary studies of any design of PCC models; for adults aged ≥15 years; that were delivered or led by trained HCP. Data were extracted including study location, design, quality, outcomes measured and effectiveness. Five out of 1393 studies met the inclusion criteria, of which four were from a high-income country and one a lower-middle income country. Of the PCC components (physical, psychological, social and spiritual wellbeing) delivered alongside HIV clinical management, one study delivered 2, two studies delivered 3 and two studies delivered all 4 components. This review highlights the lack of outcome evidence for person-centred HIV care, and of concurrent focus on all domains of concern for PLWHA within interventions. Clear articulation of the meaning, practice of PCC and implementation strategies are needed to meet policy recommendations.
Original languageEnglish
Pages (from-to)1107-1117
Number of pages11
JournalAIDS Care
Volume33
Issue number9
Early online date3 Aug 2020
DOIs
Publication statusE-pub ahead of print - 3 Aug 2020
Externally publishedYes

Keywords

  • person-centred care
  • HIV/AIDS
  • holistic care
  • holistic assessment
  • community-based care

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