Marcos T, Barbosa A, Almeida I, Barbosa P, Vasconcelos C
Centro de Saúde da Batalha, Porto.
Acta Med Port. 2000 Jul-Aug;13(4):173-9.
To characterize a subject who is HIV positive and closely observed in the consultation of clinical immunology (Santo António General Hospital), from a demographic and socio-economic point of view; to determine the percentage of these subjects who have a family doctor; how often they go to a family doctor; the reasons for a more frequent visit to the doctor; if there has been any alteration in the reasons for consulting the family doctor after establishing the diagnosis of HIV infection; who made the diagnosis of HIV infection; to evaluate, from these patient's point of view, if there has been any alteration in the family doctor's attitude or vice versa after the diagnosis. CHARACTERISATION OF THE STUDY: A descriptive, transversal study was carried out from 30/01/97 to 13/03/1997.
A questionnaire with twenty-two questions was used in a personal interview of a random sample of 100 patients observed in the Consultation of Clinical Immunology at Santo António General Hospital and represented 40% of the population studied.
One hundred patients answered the questionnaire, 73 were male and 27 female, with an mean age of 34.73 years. The majority were single, representing 44% of the random sample, 33% had completed primary education (or equivalent), and 28% had attended secondary school (complete or incomplete), 35% of the subjects were employed and 34% unemployed. In what concerns area of residence, the majority live in the metropolitan area of Oporto. The majority of the patients (85%) had a family doctor. Nevertheless, 1/3 had never paid a visit to their doctor and, as for the others, the majority rarely did. After the diagnosis of HIV infection, the reasons that led patients to see their doctors were merely administrative (prescriptions--24.56%, sick leave--21.05%). On the other hand, before the diagnosis, health problems were their major concern and priority (27.54%). The diagnosis was made in equal proportion (28%) by the hospital services and by institutions providing health care for drug addicts. In most cases, from the patient's point of view, there had not been any change in the family doctor's attitude after the diagnosis of HIV infection and vice versa.
Although the majority of the subjects have a family doctor, their demand is very low, therefore, there is a waste of opportunities in terms of primary, secondary and tertiary medical care.
从人口统计学和社会经济角度描述一名在临床免疫学咨询门诊（圣安东尼奥综合医院）接受密切观察的HIV阳性患者；确定这些患者中拥有家庭医生的比例；他们看家庭医生的频率；更频繁就医的原因；在确诊HIV感染后，咨询家庭医生的原因是否有任何变化；谁做出了HIV感染的诊断；从这些患者的角度评估在诊断后家庭医生的态度是否有任何变化，反之亦然。研究特征：于1997年1月30日至1997年3月13日进行了一项描述性横断面研究。
采用一份包含22个问题的问卷，对圣安东尼奥综合医院临床免疫学咨询门诊观察的100名患者随机样本进行个人访谈，该样本占所研究人群的40%。
100名患者回答了问卷，其中73名男性，27名女性，平均年龄34.73岁。大多数为单身，占随机样本的44%，33%完成了小学教育（或同等学历），28%上过中学（完整或不完整），35%的受试者就业，34%失业。在居住地区方面，大多数人居住在波尔图大都市区。大多数患者（85%）有家庭医生。然而，三分之一的人从未看过他们的医生，至于其他人，大多数很少去。在诊断出HIV感染后，患者看医生的原因仅仅是行政方面的（开处方——24.56%，病假——21.05%）。另一方面，在诊断之前，健康问题是他们主要关心和优先考虑的（27.54%）。医院服务机构和为吸毒者提供医疗保健的机构做出诊断的比例相同（28%）。在大多数情况下，从患者的角度来看，在诊断出HIV感染后家庭医生的态度没有任何变化，反之亦然。
尽管大多数受试者有家庭医生，但他们的需求非常低，因此，在初级、二级和三级医疗保健方面存在机会浪费。
