Provider Perceptions of Barriers to HIV Care Among Women with HIV in Miami-Dade County, Florida, and Possible Solutions: A Qualitative Study

In Miami-Dade County, women with HIV (WWH) enrolled in Ryan White Program (RWP) services belong to groups that have historically faced structural barriers to care. To examine provider perceptions of WWH's barriers to care and elicit possible solutions, we conducted semi-structured interviews (n...

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Autores principales:	Melissa K. Ward PhD, MPH, Yazmine de la Cruz MPH, Sofia B. Fernandez PhD, MSW, Gladys E. Ibañez PhD, Michèle Jean-Gilles PhD, Jessy G. Dévieux PhD, Petra Brock MS, Robert Ladner PhD, Mary Catherine Beach MD, MPH, Mary Jo Trepka MD, MSPH
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/6d54f639dbcf4d048626546c47c3cd01
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spelling	oai:doaj.org-article:6d54f639dbcf4d048626546c47c3cd012021-12-01T23:04:44ZProvider Perceptions of Barriers to HIV Care Among Women with HIV in Miami-Dade County, Florida, and Possible Solutions: A Qualitative Study2325-958210.1177/23259582211053520https://doaj.org/article/6d54f639dbcf4d048626546c47c3cd012021-11-01T00:00:00Zhttps://doi.org/10.1177/23259582211053520https://doaj.org/toc/2325-9582In Miami-Dade County, women with HIV (WWH) enrolled in Ryan White Program (RWP) services belong to groups that have historically faced structural barriers to care. To examine provider perceptions of WWH's barriers to care and elicit possible solutions, we conducted semi-structured interviews (n = 20) with medical case managers and human immunodeficiency virus (HIV) healthcare providers from medical case management sites serving WWH enrolled in the Miami-Dade RWP. Verbatim transcripts were analyzed thematically by two coders through an iterative process; disagreements were resolved through consensus. Barriers included lack of disclosure and stigma, additional psychosocial barriers to care, structural and logistical barriers, and negative interactions with health care providers. Participant suggestions to address these barriers included strategies that support women and foster individualized services that are responsive to their lived experiences and needs. Other solutions, such as those related to transportation, housing, and general funding for the RWP, will require advocacy and policy change.Melissa K. Ward PhD, MPHYazmine de la Cruz MPH Sofia B. Fernandez PhD, MSWGladys E. Ibañez PhDMichèle Jean-Gilles PhDJessy G. Dévieux PhDPetra Brock MSRobert Ladner PhDMary Catherine Beach MD, MPHMary Jo Trepka MD, MSPHSAGE PublishingarticleDiseases of the genitourinary system. UrologyRC870-923ENJournal of the International Association of Providers of AIDS Care, Vol 20 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the genitourinary system. Urology RC870-923
spellingShingle	Diseases of the genitourinary system. Urology RC870-923 Melissa K. Ward PhD, MPH Yazmine de la Cruz MPH Sofia B. Fernandez PhD, MSW Gladys E. Ibañez PhD Michèle Jean-Gilles PhD Jessy G. Dévieux PhD Petra Brock MS Robert Ladner PhD Mary Catherine Beach MD, MPH Mary Jo Trepka MD, MSPH Provider Perceptions of Barriers to HIV Care Among Women with HIV in Miami-Dade County, Florida, and Possible Solutions: A Qualitative Study
description	In Miami-Dade County, women with HIV (WWH) enrolled in Ryan White Program (RWP) services belong to groups that have historically faced structural barriers to care. To examine provider perceptions of WWH's barriers to care and elicit possible solutions, we conducted semi-structured interviews (n = 20) with medical case managers and human immunodeficiency virus (HIV) healthcare providers from medical case management sites serving WWH enrolled in the Miami-Dade RWP. Verbatim transcripts were analyzed thematically by two coders through an iterative process; disagreements were resolved through consensus. Barriers included lack of disclosure and stigma, additional psychosocial barriers to care, structural and logistical barriers, and negative interactions with health care providers. Participant suggestions to address these barriers included strategies that support women and foster individualized services that are responsive to their lived experiences and needs. Other solutions, such as those related to transportation, housing, and general funding for the RWP, will require advocacy and policy change.
format	article
author	Melissa K. Ward PhD, MPH Yazmine de la Cruz MPH Sofia B. Fernandez PhD, MSW Gladys E. Ibañez PhD Michèle Jean-Gilles PhD Jessy G. Dévieux PhD Petra Brock MS Robert Ladner PhD Mary Catherine Beach MD, MPH Mary Jo Trepka MD, MSPH
author_facet	Melissa K. Ward PhD, MPH Yazmine de la Cruz MPH Sofia B. Fernandez PhD, MSW Gladys E. Ibañez PhD Michèle Jean-Gilles PhD Jessy G. Dévieux PhD Petra Brock MS Robert Ladner PhD Mary Catherine Beach MD, MPH Mary Jo Trepka MD, MSPH
author_sort	Melissa K. Ward PhD, MPH
title	Provider Perceptions of Barriers to HIV Care Among Women with HIV in Miami-Dade County, Florida, and Possible Solutions: A Qualitative Study
title_short	Provider Perceptions of Barriers to HIV Care Among Women with HIV in Miami-Dade County, Florida, and Possible Solutions: A Qualitative Study
title_full	Provider Perceptions of Barriers to HIV Care Among Women with HIV in Miami-Dade County, Florida, and Possible Solutions: A Qualitative Study
title_fullStr	Provider Perceptions of Barriers to HIV Care Among Women with HIV in Miami-Dade County, Florida, and Possible Solutions: A Qualitative Study
title_full_unstemmed	Provider Perceptions of Barriers to HIV Care Among Women with HIV in Miami-Dade County, Florida, and Possible Solutions: A Qualitative Study
title_sort	provider perceptions of barriers to hiv care among women with hiv in miami-dade county, florida, and possible solutions: a qualitative study
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/6d54f639dbcf4d048626546c47c3cd01
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Provider Perceptions of Barriers to HIV Care Among Women with HIV in Miami-Dade County, Florida, and Possible Solutions: A Qualitative Study

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