Relación entre médicos y pacientes con VIH: influencia en apego terapéutico y calidad de vida

• Autor(a) principal: Herrera, Cristina
• Data de Publicação: 2008
• Outros Autores: Campero, Lourdes, Caballero, Marta, Kendall, Tamil
• Tipo de documento: Artigo
• Idioma: spa
• Título da fonte: Revista de Saúde Pública
• Texto Completo: https://www.revistas.usp.br/rsp/article/view/32406
• topic: Relaciones Médico-Paciente; Síndrome de Inmunodeficiencia Adquirida^i1^sprevención & cont; Conocimientos^i1^sActitudes y Práctica en Sa; Investigación Cualitativa; México; Physician-Patient Relations; Acquired Immunodeficiency Syndrome^i2^sprevention & cont; Health Knowledge^i2^sAttitudes; Health Pract; Qualitative Research; Relações Médico-Paciente; Síndrome de Imunodeficiência Adquirida^i3^sprevenção & contr; Conhecimentos^i3^sAtitudes e Prática em Sa; Pesquisa Qualitativa; México

OBJECTIVE: To assess the influence of the relationship between people living with HIV/AIDS and health care providers on treatment adherence and quality of life. METHODS: Qualitative study conducted in Mexico, in 2003, with informants recruited from HIV/AIDS support groups, non-governmental organizations, and infectious disease clinics in public hospitals. A total of 40 people living with HIV/AIDS and five support group leaders were interviewed. Data were collected using sociodemographic questionnaires and in-depth interviews exploring the experience of living with HIV/AIDS, including treatment, disease perception, quality of life, physical and emotional health, and relationship with physicians. Responses were recorded, transcribed and organized thematically based on codes using an inductive analysis. RESULTS: Most respondents aged between 26 and 45 years. The main obstacles to care were related to lack of risk awareness and information among people living with HIV/AIDS and physicians. Physicians proved not to be well trained on HIV/AIDS care. During the follow-up care, most problems were related to inadequate treatment adherence mainly caused by poor communication with physicians and discrimination in public services. CONCLUSIONS: Overall the problems identified were related to information deficiencies, physicians' lack of training and paternalism, and social stigmatization of people living with HIV/AIDS associated with the epidemic.