Abstract:
Patient loyalty is the continuous commitment and engagement in care
where patients can improve and sustain quality of life through
continuous use of medical care. Identifying strengths and weaknesses
in providing excellent quality care is a key measure of success of
healthcare professionals and hospital management. However, few
studies have examined patient loyalty from a strategic leadership
perspective within HIV health care systems. The purpose of this study
is to determine how patient loyalty to HIV care is influenced by
multiple factors in a healthcare system environment. The study
employs a mixed-methods approach guided by the complexity theory
and the theory of planned behavior. A total of 444 surveys with (50
healthcare providers and 394 adult HIV-infected patients) currently on
antiretroviral drugs, as well as 22 in-depth interviews with healthcare
providers will be conducted. The study will be done at AMPATH
Eldoret Kenya. We will use stratified proportionate and census
sampling methods to select study participants for the survey while
purposive and convenient sampling techniques will be used for in-
depth interviews. Structured questionnaires and interviewer guides
will guide data collection. Quantitative data analysis will entail
hierarchical regression to test direct effects while multiple regression
will test the mediation effects using the Hayes PROCESS Model No.6 in
SPSS. Qualitative data analysis will be conducted using a thematic
analytical method.