Bradley F, Bury G, O'Kelly F, Shannon W, Hickey A, Mulcahy F
HIV Primary Care Research Unit, Coombe Healthcare Centre, Dublin.
Ir Med J. 1995 May-Jun;88(3):98-100.
Fifty-seven HIV positive adults (mostly injecting drug users) attending two inner city Dublin general practices were followed for one year to identify the general practice and hospital components of their care. Many patients had advanced disease; during the year 10/57 (17.5%) died. The group made a median of seven visits to general practice (range 0-35) and two visits to hospital HIV clinics (range 0-21). A quarter of the group (14/57) was seen only in general practice and did not attend hospital; only two patients did not attend either the HIV Clinic or the GP during the year. Hospital admission was needed for 15/57 (26.3%) patients on a total of 31 occasions with an average length of stay of 10 days per admission; 80% of these admissions were generated by 10 patients with AIDS. The indication for almost all admissions was serious physical illness or diagnostic or therapeutic procedure. Patients with symptomatic or advanced HIV disease required a higher level of care than those with asymptomatic disease. It is essential that the agencies involved in meeting this level of demand be adequately resourced and that they liaise closely.
对都柏林市中心两家全科诊所的57名艾滋病毒呈阳性的成年人（大多数为注射吸毒者）进行了为期一年的跟踪，以确定他们接受治疗的全科诊所和医院组成部分。许多患者病情已发展到晚期；这一年中有10/57（17.5%）的患者死亡。该群体到全科诊所就诊的中位数为7次（范围0 - 35次），到医院艾滋病毒诊所就诊的中位数为2次（范围0 - 21次）。该群体中有四分之一（14/57）仅在全科诊所就诊，未去医院；这一年中只有两名患者既未去过艾滋病毒诊所也未看过全科医生。57名患者中有15名（26.3%）需要住院治疗，总共住院31次，每次住院的平均时长为10天；这些住院病例中有80%是由10名艾滋病患者引起的。几乎所有住院的指征都是严重的身体疾病或诊断或治疗程序。有症状或晚期艾滋病毒疾病的患者比无症状疾病的患者需要更高水平的护理。满足这一需求水平的相关机构必须有充足的资源，并且它们之间要密切联络。
