Martinez J L, Licea Serrato J de D, Jimenez R, Grimes R M
AIDS Education and Training Centers, School of Public Health, University of Texas-Houston Health Science Center 77225-0186, USA.
Rev Panam Salud Publica. 1998 Jul;4(1):14-9. doi: 10.1590/s1020-49891998000700003.
Hispanic clinicians in Texas, United States of America, and in the neighboring state of Nuevo Leon, Mexico, were surveyed to determine their educational needs in the area of HIV/AIDS. Two-thirds of the 74 Texan and 22% of the 104 Mexican physicians queried had seen at least one HIV/AIDS patient in the previous year. The majority of the respondents were primary care physicians who: 1) were in private practice; 2) saw more than 1,000 patients per year; 3) had been out of training for more than 10 years; 4) provided some HIV prevention education to patients based on their perceived risk of infection; 5) rated their own knowledge of HIV/AIDS as average but rated their knowledge of treatments for the disease below average; 6) received most of their information about HIV/AIDS from journals rather than formal continuing education programs; 7) thought Hispanic patients had special needs with regard to HIV/AIDS care; and 8) were willing to attend education programs to improve their HIV/AIDS management skills. The greatest barriers to caring for HIV patients were lack of clinical knowledge and fear of infection. These results point to a need for a large-scale training program to improve the HIV/AIDS management skills of Hispanic clinicians in Texas and Nuevo Leon.
对美国得克萨斯州以及邻国墨西哥新莱昂州的西班牙裔临床医生进行了调查，以确定他们在艾滋病毒/艾滋病领域的教育需求。在接受调查的74名得克萨斯州医生中，三分之二的人以及104名墨西哥医生中的22%在过去一年中至少见过一名艾滋病毒/艾滋病患者。大多数受访者是初级保健医生，他们：1）从事私人执业；2）每年接诊超过1000名患者；3）已经结束培训超过10年；4）根据患者感知的感染风险为患者提供一些艾滋病毒预防教育；5）将自己对艾滋病毒/艾滋病的知识评为中等，但将对该疾病治疗方法的知识评为低于中等水平；6）关于艾滋病毒/艾滋病的大部分信息来自期刊而非正规的继续教育项目；7）认为西班牙裔患者在艾滋病毒/艾滋病护理方面有特殊需求；8）愿意参加教育项目以提高他们的艾滋病毒/艾滋病管理技能。护理艾滋病毒患者的最大障碍是缺乏临床知识和害怕感染。这些结果表明需要开展大规模培训项目，以提高得克萨斯州和新莱昂州西班牙裔临床医生的艾滋病毒/艾滋病管理技能。
