Richardson J L, Lochner T, McGuigan K, Levine A M
Department of Preventive Medicine, School of Medicine, University of Southern California, Los Angeles.
Med Care. 1987 Aug;25(8):675-85. doi: 10.1097/00005650-198708000-00001.
The number of patients with acquired immunodeficiency syndrome (AIDS) continues to increase. These patients require medical care from physicians who are well trained and who are willing to provide that care. In 1985, we undertook a survey of 314 heterosexual and homosexual physicians in Los Angeles County to determine their willingness and perceived ability to care for patients with AIDS. This survey indicates that most physicians believe that special clinics staffed by physicians who have a particular expertise in caring for AIDS patients should be established. Many of the physicians surveyed indicated that concerns about the risk of contagion with AIDS is a deterrent to treating AIDS patients. Current evidence indicates this concern is unfounded. Both heterosexual and homosexual physicians indicated a lack of medical knowledge and experience regarding the opportunistic infections and cancers that are associated with AIDS, although many physicians in both groups expressed a desire to receive more training in this regard. Our survey indicates that there is a definite need for more clinically based training opportunities for physicians who would like to provide care for AIDS patients. If such training were to become available, it is likely that sufficient numbers of physicians would be willing to care for AIDS patients.
获得性免疫缺陷综合征（艾滋病）患者的数量持续增加。这些患者需要接受训练有素且愿意提供治疗的医生的医疗护理。1985年，我们对洛杉矶县的314名异性恋和同性恋医生进行了一项调查，以确定他们照顾艾滋病患者的意愿和自我认知的能力。这项调查表明，大多数医生认为应该设立由在照顾艾滋病患者方面有特殊专长的医生组成的专科诊所。许多接受调查的医生表示，对感染艾滋病风险的担忧是治疗艾滋病患者的一个阻碍。目前的证据表明这种担忧是没有根据的。异性恋和同性恋医生都表示缺乏与艾滋病相关的机会性感染和癌症方面的医学知识和经验，尽管两组中的许多医生都表示希望接受这方面的更多培训。我们的调查表明，对于那些希望为艾滋病患者提供护理的医生来说，确实需要更多基于临床的培训机会。如果能提供这样的培训，很可能会有足够数量的医生愿意照顾艾滋病患者。
