ArticleCMAJ open
Codesigning care improvements for women living with HIV: a patient-oriented deliberative dialogue workshop in Montréal, Quebec.
Article in CMAJ open. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- The use of deliberative dialogue in health services research: a scoping review.Research involvement and engagement · 2026Review
- Evidence-based clinical encounter vignettes facilitate data collection: In patient-family physician deliberative dialogues.Canadian family physician Medecin de famille canadien · 2026Article
- Deliberative dialogue for co-design, co-implementation and co-evaluation of health-promoting interventions: a scoping review protocol.Research involvement and engagement · 2025Review
- Formulating recommendations to improve care for persons living with dementia: deliberative dialogues with multiple stakeholders in the province of Quebec, Canada.BMC health services research · 2024Article
- Public perceptions and expectations: Disentangling the hope and hype of organoid research.Stem cell reports · 2023Article
- Evaluating Public Participation in a Deliberative Dialogue: A Single Case Study.International journal of health policy and management · 2022Article
- Article
- Patterns of changing pregnancy intentions among women living with HIV in Canada.BMC women's health · 2021Article
- Patients' Positive Experiences and the Role of Agency and Respect in Supporting HIV Treatment and Care Outcomes Among Women Living With HIV: Implications for Trauma- and Violence-Informed HIV Care and Practice From a Longitudinal Cohort Study.Journal of the International Association of Providers of AIDS CareArticle
- Article
- Dissemination of the Women-Centred HIV Care Model: A Multimodal Process and Evaluation.Journal of the International Association of Providers of AIDS CareArticle
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9 authors.
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Abstract
backgroundCare services have not been sufficiently adapted to meet the comprehensive care needs of women living with HIV. Our study objective was to engage patients and providers in codesigning care recommendations to improve care for this population in the province of Quebec.
methodsWe conducted a 5-hour deliberative dialogue workshop in April 2019 in Montréal as the final phase of a mixed-methods study investigating comprehensive care for women living with HIV. The study drew on data from the Canadian HIV Women's Sexual and Reproductive Health Cohort Study (CHIWOS). Recruitment was guided by a purposive maximum-variation sampling strategy to ensure an appropriate mix of participants and was facilitated by our existing CHIWOS networks. Participants included patients (women living with HIV) and HIV care providers (doctors, nurses, pharmacists). The workshop was facilitated professionally and included a synthesis of the evidence, small- and large-group deliberations, and voting on care improvements.
resultsEight patients and 8 HIV care providers participated. Drawing on identified care priorities, the participants identified 4 relatively rapid care improvements and 3 longer-term improvements. The rapid care improvements included delegating medical acts to members of multidisciplinary care teams; greater involvement of HIV community members within care settings and health care decision-making; creating a women's health information booklet; and increasing HIV education among all health care providers and raising awareness of women's care needs beyond HIV-specific care among HIV care providers. The longer-term care improvements included advocating for complete financial coverage of antiretroviral therapy within the government-sponsored Medicare program, facilitating access to allied care providers (e.g., physiotherapists and psychologists) and launching a population-wide campaign to increase awareness about the Undetectable = Untransmittable (U=U) initiative and other HIV advances.
interpretationThe deliberative dialogue workshop yielded evidence-based, stakeholder-driven recommendations to improve the comprehensive care of women living with HIV in Quebec.
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