Anderson P, Mayon-White R
Department of Community Medicine, Oxfordshire Health Authority.
Br Med J (Clin Res Ed). 1988 Feb 20;296(6621):535-7. doi: 10.1136/bmj.296.6621.535.
General practitioners will have an increasingly important role in the management of patients with the acquired immune deficiency syndrome (AIDS) and infections with human immunodeficiency virus (HIV) as the numbers of cases increase. Altogether 280 general practitioners working in Oxfordshire were sent a postal questionnaire inquiring about their education, knowledge, current practice, and attitudes in relation to managing infections with HIV. Of the 235 (84%) general practitioners who replied, nine out of 10 were giving advice about infection with HIV to their patients. One in two were testing patients for such infection, and one in four were caring for infected patients. Nevertheless, uncertainty remained about the risks of transmission of infection with HIV and general practitioners' knowledge of educational activities for their patients could be improved. The introduction of a facilitator to work with general practitioners in managing patients with AIDS or infection with HIV is planned, especially to help general practitioners develop the skills needed for prevention.
随着获得性免疫缺陷综合征(艾滋病)和人类免疫缺陷病毒(HIV)感染病例数量的增加,全科医生在这些患者的管理中将发挥越来越重要的作用。总共向在牛津郡工作的280名全科医生发送了一份邮政调查问卷,询问他们在管理HIV感染方面的教育程度、知识水平、当前做法和态度。在回复的235名(84%)全科医生中,十分之九的人会就HIV感染向患者提供建议。二分之一的人会为患者进行此类感染检测,四分之一的人会照顾感染患者。然而,对于HIV感染传播的风险仍存在不确定性,全科医生对患者教育活动的了解还有待提高。计划引入一名协调员,与全科医生合作管理艾滋病患者或HIV感染患者,特别是帮助全科医生培养预防所需的技能。