The patient-provider relationship as experienced by a diverse sample of highly adherent HIV-infected people

J Assoc Nurses AIDS Care. 2014 Mar-Apr;25(2):123-34. doi: 10.1016/j.jana.2013.01.006. Epub 2013 Jul 1.


Qualitative interviews with 23 HIV-infected people who self-reported high-level adherence to antiretroviral therapy were used to examine the process by which they came to accept their HIV infection and engage in high-level adherence behaviors. A major theme that emerged during data analysis was the importance of the patient-provider relationship. The quality of the relationship between patient and provider emerged as an important component of working through early struggles with diagnosis and the on-going struggles of living with a chronic illness. A variety of factors impacting the patient-provider relationship emerged as subthemes. What can be taken from this study is the importance of the patient-provider relationship in the effective self-management of HIV infection. Additionally, several specific behaviors can enhance the patient-provider relationship and help assure movement toward patient acceptance of the illness and engagement in high-level adherence behaviors.

Keywords: HIV infection; acceptance; high-level adherence; patient–provider relationship.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Anti-HIV Agents / therapeutic use
  • Antiretroviral Therapy, Highly Active*
  • Attitude of Health Personnel
  • Communication
  • Female
  • HIV Infections / diagnosis
  • HIV Infections / drug therapy*
  • HIV Infections / psychology*
  • Humans
  • Interviews as Topic
  • Male
  • Middle Aged
  • Patient Compliance*
  • Professional-Patient Relations*
  • Qualitative Research
  • Retrospective Studies
  • Self Report
  • Socioeconomic Factors
  • Treatment Outcome
  • Viral Load


  • Anti-HIV Agents