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Client-led care in HIV: perspectives from community and practice
David Crawford1, Brent Allan2, Aaron Cogle3
1Positive Life New South Wales, Surry Hills, NSW, Australia.
HIV Medicine
|July 23, 2021
Summary
Client-led care enhances the quality of life for people with HIV (PLHIV) by focusing on well-being and individual needs. This approach involves partnership, communication, and trust between clients and healthcare providers.
Area of Science:
- Public Health
- HIV Medicine
- Patient-Centered Care
Background:
- Current antiretroviral therapy and care strategies effectively suppress HIV but may not fully address the holistic well-being of individuals.
- Optimal quality of life (QoL) for people living with HIV (PLHIV) necessitates a broader consideration of personal circumstances and social determinants of health.
Purpose of the Study:
- To define client-led care within the Australian context for PLHIV.
- To identify key principles supporting a client-led care model for PLHIV.
Main Methods:
- A scoping review of relevant literature was conducted.
- Consultations were held with HIV specialist physicians and PLHIV advocates.
Main Results:
- Seven articles were included in the qualitative analysis of the scoping review.
- Consultations involved five PLHIV advocates and three HIV specialist physicians.
- Key principles identified included partnership, communication, coordinated access, trust-building, and respect for client needs.
Conclusions:
- A client-led approach complements conventional HIV care.
- This model fosters empowerment and improves engagement with care.
- Client-led care has the potential to enhance the HIV care continuum and overall QoL for motivated PLHIV.
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