The balancing perspective of hard-to-reach hepatitis C patients who were lost to follow-up: A qualitative study

The balancing perspective gives insight into why individuals with HCV were not retained in care but also why they remained lost to follow-up (LFU) thereafter. This “achieved balance” is the result of a transformative process following the initial HCV diagnosis. It is a steadfast stance in which participants keep HCV out of sight and in the margin of their lives in order to reestablish an optimal state of well-being. The balancing perspective is subsequently defended by repeated evasive behavioral patterns to avoid confrontation with the disease. Physicians should realize that this mindset can be persistent and repeated efforts may be needed to finally trace and retrieve these patients. PLOS ONE

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