Care aspects | Individual ART delivery | CAG-model |
---|---|---|
Information flow | One way communication | Open communication between HCW and patients |
Motivation | External, having to comply to instructions | Internal, patients gain better understanding of treatment and importance of adherence |
Training and education | Disease oriented knowledge transfer | Transfer of problem-solving skills to cope with their chronic condition through sharing of day-to-day experiences |
Relation between HCW and patients | HCW considered as superior, difficult to approach | Trust relationship, HCW and patients considered each other as friends/partners |
Relation between peers | Patients feel isolated | Strong mutual peer support based on day-to-day experiences |
Power shift | Patients follow passively instructions of HCW | Patients are actively involved in their health decision making |
Solutions | Offered by HCW | Patients search for solutions themselves with the support of peers and HCW |
Needs | Identified by HCW | Identified by patients |
Responsible for treatment outcomes | HCW | Patients and HCW share responsibilities |
Information dissemination | Limited to the consultation | Reaching the broader community |