Participant characteristics.

Person-centered care (PCC) is foundational to improve client’s experiences in care while advancing HIV-related outcomes. However, information is scarce on how to assess PCC in HIV treatment settings. This study team developed the PCC assessment tool (PCC-AT) to assess the performance in HIV clinics in Ghana. The objectives of this study were to: (1) pilot the PCC-AT and assess scoring consistency and reliability among clients and providers; and (2) assess content validity of the PCC-AT through client key informant perspectives and experiences. An analysis of similarities and differences in PCC-AT domain scores between ART providers and clients was conducted to assess score reliability. Axial and open coding of transcripts using NVivo identified key themes. Findings indicate that the PCC framework aligns with client’s priorities, additionally two out of the three PCC domain scores demonstrated consistency between ART providers and clients. Emerging differences in ART provider and client perspectives highlighted opportunities for growth and underscored the importance of continually gathering client feedback as an integral component of a PCC assessment to continually strengthen ART services.

以患者为中心的照护（Person-centered care, PCC）是提升服务对象照护体验、优化艾滋病相关诊疗结局的核心基石。然而，当前针对艾滋病诊疗场景下如何开展PCC评估的相关研究仍较为匮乏。本研究团队开发了PCC评估工具（PCC assessment tool, PCC-AT），用于评估加纳艾滋病诊疗门诊的服务表现。本研究的目标为：（1）对PCC-AT进行预试验，评估服务对象与医护人员间的评分一致性与信度；（2）通过服务对象关键知情人的视角与经历，评估PCC-AT的内容效度。本研究通过对比抗逆转录病毒治疗（antiretroviral therapy, ART）医护人员与服务对象的PCC-AT领域评分异同，以评估评分信度；借助NVivo软件对转录文本进行主轴编码与开放式编码，提炼核心研究主题。研究结果显示，PCC框架契合服务对象的照护优先级；此外，三项PCC领域评分中有两项在ART医护人员与服务对象间表现出一致性。抗逆转录病毒治疗医护人员与服务对象的视角差异既指明了服务优化的空间，也凸显了持续收集服务对象反馈作为PCC评估的核心组成部分，对于不断强化ART服务的重要意义。