Boyton R, Scambler G
Royal Free Hospital School of Medicine, London.
Br Med J (Clin Res Ed). 1988 Feb 20;296(6621):538-40. doi: 10.1136/bmj.296.6621.538.
As the numbers of people suffering from human immunodeficiency virus infection and the acquired immune deficiency syndrome (AIDS) increase, so will the contribution to care required from general practice. A postal questionnaire survey was therefore carried out among general practitioners in the North West Thames and East Anglian regions to determine their attitudes to AIDS and the issues it raises for them. One hundred and thirty seven questionnaires were returned (response rate 57%) and four factors underlying the doctors' attitudes identified; these concerned disease control, general practitioner care, patient support, and perception of seriousness. There were wide divergences of attitude among the general practitioners, younger doctors being more in line with specialist thinking on AIDS than older colleagues, and evidence of important gaps between policies advocated by AIDS specialists and bodies of opinion in general practice. Attitudes to AIDS in general practice may partly be a function of personal experience; further study is required.
随着感染人类免疫缺陷病毒和罹患获得性免疫缺陷综合征(艾滋病)的人数增加,全科医疗所需提供的护理工作也会相应增加。因此,我们对泰晤士河西北地区和东安格利亚地区的全科医生开展了一项邮寄问卷调查,以确定他们对艾滋病的态度以及艾滋病给他们带来的问题。共收到137份问卷(回复率为57%),并确定了医生态度背后的四个因素;这些因素涉及疾病控制、全科医生护理、患者支持以及对严重性的认知。全科医生的态度存在很大差异,年轻医生在艾滋病问题上的看法比年长同事更符合专科医生的观点,而且艾滋病专家倡导的政策与全科医疗中的意见群体之间存在重大差距。全科医疗中对艾滋病的态度可能部分取决于个人经历;还需要进一步研究。