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Examining the Link between Patient Satisfaction and Adherence to HIV Care: A Structural Equation Model

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  • Bich N Dang
  • Robert A Westbrook
  • William C Black
  • Maria C Rodriguez-Barradas
  • Thomas P Giordano

Abstract

Introduction: Analogous to the business model of customer satisfaction and retention, patient satisfaction could serve as an innovative, patient-centered focus for increasing retention in HIV care and adherence to HAART, and ultimately HIV suppression. Objective: To test, through structural equation modeling (SEM), a model of HIV suppression in which patient satisfaction influences HIV suppression indirectly through retention in HIV care and adherence to HAART. Methods: We conducted a cross-sectional study of adults receiving HIV care at two clinics in Texas. Patient satisfaction was based on two validated items, one adapted from the Consumer Assessment of Healthcare Providers and Systems survey (“Would you recommend this clinic to other patients with HIV?) and one adapted from the Delighted-Terrible Scale, (“Overall, how do you feel about the care you got at this clinic in the last 12 months?”). A validated, single-item question measured adherence to HAART over the past 4 weeks. Retention in HIV care was based on visit constancy in the year prior to the survey. HIV suppression was defined as plasma HIV RNA

Suggested Citation

  • Bich N Dang & Robert A Westbrook & William C Black & Maria C Rodriguez-Barradas & Thomas P Giordano, 2013. "Examining the Link between Patient Satisfaction and Adherence to HIV Care: A Structural Equation Model," PLOS ONE, Public Library of Science, vol. 8(1), pages 1-7, January.
    • Handle: RePEc:plo:pone00:0054729
    DOI: 10.1371/journal.pone.0054729
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    References listed on IDEAS

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    1. Bich N Dang & Robert A Westbrook & Maria C Rodriguez-Barradas & Thomas P Giordano, 2012. "Identifying Drivers of Overall Satisfaction in Patients Receiving HIV Primary Care: A Cross-Sectional Study," PLOS ONE, Public Library of Science, vol. 7(8), pages 1-8, August.
    2. Frank Andrews & Rick Crandall, 1976. "The validity of measures of self-reported well-being," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 3(1), pages 1-19, June.
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