Building Trust and Relationships Between Patients and Providers: An Essential Complement to Health Literacy in HIV Care

作者：Dawson Rose Carol^*; Cuca Yvette P; Webel Allison R; Baez Solymar S Solis; Holzemer William L; Rivero Mendez Marta; Eller Lucille Sanzero; Reid Paula; Johnson Mallory O; Kemppainen Jeanne; Reyes Darcel; Nokes Kathleen; Nicholas Patrice K; Matshediso Ellah; Mogobe Keitshokile Dintle; Sabone Motshedisi B; Ntsayagae Esther I; Shaibu Sheila; Corless Inge B; Wantland Dean; Lindgren Teri

来源：Journal of the Association of Nurses in AIDS Care, 2016, 27(5): 574-584.

DOI：10.1016/j.jana.2016.03.001

• health literacy
• HIV
• HIV self-management
• patient-provider relationship

Health literacy is important for access to and quality of HIV care. While most models of health literacy acknowledge the importance of the patient-provider relationship to disease management, a more nuanced understanding of this relationship is needed. Thematic analysis from 28 focus groups with HIV-experienced patients (n = 135) and providers (n = 71) identified a long-term and trusting relationship as an essential part of HIV treatment over the continuum of HIV care. We found that trust and relationship building over time were important for patients with HIV as well as for their providers. An expanded definition of health literacy that includes gaining a patient's trust and engaging in a process of health education and information sharing over time could improve HIV care. Expanding clinical perspectives to include trust and the importance of the patient-provider relationship to a shared understanding of health literacy may improve patient experiences and engagement in care. Copyright (C) 2016 The Authors. Published by Elsevier Inc. on behalf of Association of Nurses in AIDS Care. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

• 出版日期2016-10
• 单位rutgers