Lewis C E
Center for Health Promotion and Disease Prevention, School of Public Health, University of California, Los Angeles, USA.
West J Med. 1996 May;164(5):415-8.
A telephone survey was conducted of primary care physicians in nonmetropolitan counties of California. In a random sample of those counties reporting fewer than 30 cases of the acquired immunodeficiency syndrome (AIDS) as of December 1994, all physicians in practice were called; in counties reporting from 31 to 150 cases of AIDS as of the same date, a 30% random sample was selected for interviewing. Completion rates were 82% in the smallest counties and 70% in the larger counties (overall 72%). Two thirds of physicians reported that they had seen a patient positive for the human immunodeficiency virus and were providing continuing care for the disease. In all, 60% of physicians had seen a patient with AIDS. In these counties, there were 653 primary care physicians and 873 patients living with AIDS. The proportion of physicians providing care to persons with AIDS was twice that reported in previous surveys done in Los Angeles, California. In the interval (1985-1994), there was a 20-fold increase in the number of AIDS cases in California. In the nonmetropolitan areas, the number of AIDS cases in late 1994 was 290 times that reported in 1985.
对加利福尼亚州非大都市县的初级保健医生进行了电话调查。在截至1994年12月报告获得性免疫缺陷综合征(艾滋病)病例少于30例的那些县的随机样本中,给所有执业医生打电话;在截至同一日期报告艾滋病病例31至150例的县,选取30%的随机样本进行访谈。最小的县的完成率为82%,较大的县为70%(总体为72%)。三分之二的医生报告说他们见过人类免疫缺陷病毒检测呈阳性的患者,并一直在为这种疾病提供持续护理。总的来说,60%的医生见过艾滋病患者。在这些县,有653名初级保健医生和873名艾滋病患者。为艾滋病患者提供护理的医生比例是之前在加利福尼亚州洛杉矶进行的调查中报告比例的两倍。在1985年至1994年期间,加利福尼亚州的艾滋病病例数增加了20倍。在非大都市地区,1994年末的艾滋病病例数是1985年报告病例数的290倍。