Perspectives of people living with HIV on access to healthcare in Canada: a systematic review and framework analysis

Hesselbarth, Lydia (2020) Perspectives of people living with HIV on access to healthcare in Canada: a systematic review and framework analysis. Masters thesis, Memorial University of Newfoundland.

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Abstract

The infection with HIV requires continuous healthcare. Some people living with HIV / AIDS (PLHA) in Canada enter the healthcare system only sporadically which has a negative effect on health outcomes for this population. To analyse patients’ perspectives on access to healthcare, a systematic review with data synthesis and framework analysis was chosen to review Canadian literature. The “5 A’s” on access to healthcare were used for synthesis and modified to fit our research question. Domains and Concepts on access to healthcare were developed, analyzed, and categorized into enablers, barriers, and suggestions from PLHA. From 26,190 articles, 334 met the inclusion criteria, leaving 11 relevant articles. The modified framework contained of 91 concepts in 7 domains: Acceptability, Availability, Accessibility, Affordability, Accommodation, Communication, and Others. Our findings highlight research opportunities and can be used by decision makers and healthcare providers to improve access to healthcare for PLHA in the future.

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