King M B
Institute of Psychiatry, Denmark Hill, London.
BMJ. 1988 Jul 16;297(6642):182-4. doi: 10.1136/bmj.297.6642.182.
An unselected series of outpatients infected with the human immunodeficiency virus (HIV) who attended two London hospitals were interviewed to assess their relationship with their general practitioner. Although most of the 192 patients were registered with a general practitioner, the doctors of only one half knew of the diagnosis. Patients feared a negative reaction from their general practitioner or were concerned about confidentiality. Although those who had told their doctor had received favourable reactions, few general practitioners attempted to counsel or educate their patients. The patients who previously had been open about their homosexuality were not more likely to have told their general practitioner of their HIV infection. Although most did not think that general practitioners were well informed about AIDS, half of the patients wished that general practitioners could take a bigger part in their care.
对两家伦敦医院收治的一系列未经挑选的感染人类免疫缺陷病毒(HIV)的门诊病人进行了访谈,以评估他们与自己的全科医生之间的关系。虽然192名患者中的大多数都在全科医生处登记,但只有一半患者的医生知晓其诊断情况。患者担心全科医生会有负面反应,或者担心保密性问题。虽然那些告知医生的患者得到了积极回应,但很少有全科医生试图为患者提供咨询或教育。之前对自己的同性恋身份持开放态度的患者,并不更有可能告知全科医生自己感染了HIV。虽然大多数患者认为全科医生对艾滋病了解不多,但有一半患者希望全科医生能在他们的治疗中发挥更大作用。