title: Health care providers' and patients' perspectives on care in HIV ambulatory clinics across Ontario.
abstract: This descriptive study represents one component of a larger project that examined the perceptions of current and best-care practices in HIV ambulatory clinics across Ontario by health care providers and patients living with HIV/AIDS. Focus groups were held with providers and patients at eight clinics. Results showed that providers' and patients' perceptions were similar. Participants were able to describe current care practices and identify two elements of best care: patient-focused care and access to care. However, both health care providers and patients acknowledged that financial constraints, appointment scheduling, and distance to clinics were some of the barriers to achieving best care. Case management and shared-care schemes are two strategies that are proposed to meet the challenge of providing collaborative integrated care that is accessible and equal to all, while still maintaining positive patient outcomes.
authors.affiliation: Queen's University School of Nursing, Kingston, Ontario, Canada.
authors.forename: Susan Jane
authors.initials: SJ
authors.lastname: Laschinger
authors.forename: Lori
authors.initials: L
authors.lastname: Van Manen
authors.forename: Tracey
authors.initials: T
authors.lastname: Stevenson
authors.forename: Frances
authors.initials: F
authors.lastname: Fothergill-Bourbonnais
mesh_terms: D000554:Ambulatory Care Facilities / Q000592:standards*; D001071:Appointments and Schedules; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D019985:Benchmarking / Q000592:standards*; D019090:Case Management / Q000592:standards; D003142:Communication; D003299:Cooperative Behavior; D004645:Empathy; D017144:Focus Groups; D015658:HIV Infections / Q000523:psychology* / Q000628:therapy; D019538:Health Care Surveys; D006297:Health Services Accessibility / Q000592:standards; D006801:Humans; D020380:Needs Assessment; D015404:Nursing Methodology Research; D009864:Ontario; D017063:Outcome Assessment, Health Care; D010348:Patient Care Team / Q000592:standards; D010353:Patient Education as Topic / Q000592:standards; D018802:Patient-Centered Care / Q000592:standards; D011369:Professional-Patient Relations; D012944:Social Support; D011795:Surveys and Questionnaires