Bury G, O'Kelly F, Pomeroy L
General Practice Professorial Unit, UCD, Dublin.
Ir Med J. 1993 Mar;86(2):53-5.
Intravenous drug using clients of a Dublin HIV Prevention Unit were interviewed about their use of general practitioner services. Sixty eight percent of clients had visited a GP within the previous year and 48% were registered with a GP under the General Medical Services (GMS) Scheme. Of 161 interviewees 60 were being treated with a fixed dose regimen of methadone at the Prevention Unit; this group was far less likely to visit a GP with a drug related problem and far less likely to have received methadone from a GP. Members of the GMS were much more likely than non members to have visited a GP and also more likely to have attended a specific GP for all problems besides methadone treatment. Methadone treatment and medical cover within the GMS Scheme emerged as important influences on the behaviour of clients with respect to general practitioners.
都柏林一家艾滋病预防机构的静脉注射吸毒者接受了关于其使用全科医生服务情况的访谈。68%的受访者在过去一年中看过全科医生，48%的人根据普通医疗服务（GMS）计划在全科医生处注册。在161名受访者中，有60人在预防机构接受美沙酮固定剂量治疗；这组人因药物相关问题去看全科医生的可能性要小得多，从全科医生处获得美沙酮的可能性也小得多。GMS计划的成员比非成员更有可能去看全科医生，而且除美沙酮治疗外，因所有问题去看特定全科医生的可能性也更大。GMS计划中的美沙酮治疗和医疗保障成为影响客户与全科医生相关行为的重要因素。
