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HIV Clinical Management What Do People Living With HIV/AIDS Expect From Their Physicians? Professional Expertise and the Doctor–Patient Relationship

By Dale Guenter, James Gillett, Roy Cain, Dorothy Pawluch and Robb Travers Phd


This qualitative study identifies the types of professional expertise that physicians are seen to possess in clinical encounters from the perspective of people living with HIV/AIDS (PLWHA). Respondents looked to their physicians for expert knowledge in 3 key areas: medical/clinical; legal/statutory; and ethical/moral. Physicians were seen to be authorities in each of these areas and their judgments, though not always agreed with, were taken seriously and influenced the health care decisions made by PLWHA. The authority that comes with professional expertise in each of the areas identified was experienced both positively and negatively by PLWHA. Understanding the expectations of patients in the medical encounter can assist physicians in providing optimal care in the management of HIV/AIDS. Keywords HIV/AIDS, quality of health care, disease management With advancements in treatment over the last decade, HIV infection has shifted from being an acute and fatal disease to a chronic illness that requires complex and ongoing med-ical care. Effective management of the disease requires that PLCHA participate in ongoing medical care that is, ideally

Year: 2016
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