Clarke A E
Department of Public Health and Policy, London School of Hygiene and Tropical Medicine, UK.
Fam Pract. 1993 Mar;10(1):8-13. doi: 10.1093/fampra/10.1.8.
This paper describes some of the barriers to caring for people with HIV and AIDS by general practitioners. It is based on a review of the literature and on interviews with individuals. The first section examines the reasons given by interviewees for their involvement in HIV and AIDS care. The next section discusses the relationship between primary and secondary care services in the care of patients with HIV and AIDS. One of the factors previously underexplored seems to be that of who 'owns' the patients. The final section looks at GPs' involvement in services for intravenous drug users with HIV and AIDS. It is concluded that there are still considerable barriers to GPs' involvement with patients with HIV and AIDS, in particular with drug users who have HIV or AIDS. It is likely that needs for continuing training in this area are not being met.
本文描述了全科医生在护理艾滋病毒感染者和艾滋病患者时面临的一些障碍。它基于对文献的综述以及对个人的访谈。第一部分探讨了受访者参与艾滋病毒和艾滋病护理的原因。下一部分讨论了初级和二级护理服务在艾滋病毒和艾滋病患者护理中的关系。一个此前未得到充分探讨的因素似乎是谁“拥有”患者。最后一部分审视了全科医生参与为感染艾滋病毒和艾滋病的静脉注射吸毒者提供服务的情况。结论是，全科医生在参与护理艾滋病毒感染者和艾滋病患者，尤其是感染艾滋病毒或患艾滋病的吸毒者方面，仍然存在相当大的障碍。该领域持续培训的需求很可能未得到满足。
