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Clinical Encounters and Treatment Initiation for Chronic Hepatitis C Patients: Applications of Adaptive Leadership

Donald E Bailey1, Andrew J Muir2, Judith A Adams3

  • 1School of Nursing, Duke University, Durham NC, USA.

SAGE Open
|January 7, 2020
PubMed

Insights

Healthcare providers can improve chronic Hepatitis C (CHC) treatment by using adaptive leadership. This approach helps patients manage medication adherence and life challenges, reducing risks associated with CHC care.

Area of Science:

  • Hepatology
  • Healthcare Management
  • Behavioral Science

Background:

  • Chronic Hepatitis C (CHC) is a prevalent blood-borne infection in the U.S.
  • Patients with CHC face significant challenges in medication adherence and symptom management during treatment.
  • Healthcare providers play a crucial role in supporting patients through these challenges.

Purpose of the Study:

  • To investigate the application of the Adaptive Leadership for Chronic Illness Framework in CHC treatment.
  • To identify adaptive leadership behaviors by healthcare providers that facilitate patient behavior change.
  • To explore missed opportunities for adaptive leadership in patient-provider interactions.

Main Methods:

  • Qualitative study utilizing the Adaptive Leadership for Chronic Illness Framework.
  • Enrolled 11 patients with CHC and 10 healthcare providers.
  • Analyzed data from the initial clinical encounter discussing CHC treatment.

Main Results:

  • Identified adaptive leadership behaviors categorized into three themes: support for medication, coping with family/home life, and managing employment.
  • Observed instances of effective adaptive leadership by healthcare providers.
  • Documented missed opportunities for adaptive leadership during patient-provider interactions.

Conclusions:

  • Adaptive leadership behaviors by healthcare providers are crucial for successful CHC treatment.
  • The absence of adaptive leadership poses potential risks to patients undergoing CHC treatment.
  • Implementing adaptive leadership strategies can enhance patient outcomes in chronic illness management.

Keywords:
Chronic Hepatitis Cadaptive leadershippatient provider communicationpatient-centered care

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