Madge S, Jones M, Mocroft A, Wells H, Johnson M A
Department of Thoracic Medicine, Royal Free Hospital, London.
Br J Gen Pract. 1999 Oct;49(447):813-5.
In the United Kingdom, people with HIV infection present with advanced disease and general practitioners (GPs) are currently an underused resource for HIV testing. We describe the reasons for using an open-access clinic rather than primary care for testing for HIV. People attending the clinic were asked to complete a questionnaire asking about GP registration, access, and whether HIV testing was discussed in primary care. Despite access to GPs, HIV testing in primary care was rarely discussed. If HIV testing is to move to a general practice setting, GPs could address the issues, such as the recording of sensitive information in notes, future life insurance, and confidentiality, which this report identifies as the main barriers for using primary care.
在英国,感染艾滋病毒的人往往病情已发展到晚期,而全科医生(GPs)目前在艾滋病毒检测方面是未得到充分利用的资源。我们阐述了使用开放式诊所而非初级保健机构进行艾滋病毒检测的原因。要求到诊所就诊的人填写一份问卷,询问有关全科医生注册、就诊机会以及在初级保健机构是否讨论过艾滋病毒检测等问题。尽管可以看全科医生,但在初级保健机构很少讨论艾滋病毒检测。如果艾滋病毒检测要转向全科医疗环境,全科医生可以解决诸如在病历中记录敏感信息、未来人寿保险和保密等问题,本报告将这些问题确定为使用初级保健机构的主要障碍。