McDonald R, Free D, Ross F, Mitchell P
Acute Medical & Emergency Service, St Thomas' Hospital, London, UK.
AIDS Care. 1998 Jun;10 Suppl 2:S123-35. doi: 10.1080/09540129850124235.
This study was concerned with preferences for inpatient models of care by the HIV/AIDS client group, in particular the difference between gay white men (European) and black heterosexuals of African/Caribbean origin. Satisfaction with the care currently provided was also an area of interest. Thirteen per cent (n = 79) of the were surveyed. Seventy per cent (n = 56) of the HIV/AIDS client group indicated a preference for a dedicated care model. Significant results were obtained demonstrating differences in the care model preferred by gay white men and black heterosexuals (p < 0.01). Gay white men were much more likely to state they would leave the trust to receive dedicated care (p < 0.01). Black heterosexuals were more likely to state that they would change treatment areas to avoid dedicated care (p < 0.01) Differences in concern about confidentiality were noted between the two groups. Confidentiality may be one of a number of factors influencing preference of care for African/Caribbeans and this needs to be studied further. The clients surveyed were not universally satisfied with the care they had been receiving. Following the results of the survey radical changes in the management of HIV inpatient care were made.
本研究关注的是艾滋病毒/艾滋病患者群体对住院护理模式的偏好，特别是欧洲裔白人同性恋男性与非洲/加勒比裔黑人异性恋者之间的差异。对当前所提供护理的满意度也是一个研究兴趣点。对其中13%（n = 79）进行了调查。70%（n = 56）的艾滋病毒/艾滋病患者群体表示倾向于专门的护理模式。研究得出了显著结果，表明白人同性恋男性和黑人异性恋者所偏好的护理模式存在差异（p < 0.01）。白人同性恋男性更有可能表示他们会离开该机构去接受专门护理（p < 0.01）。黑人异性恋者更有可能表示他们会更换治疗区域以避免专门护理（p < 0.01）。两组在对保密性的担忧方面存在差异。保密性可能是影响非洲/加勒比裔患者护理偏好的诸多因素之一，这需要进一步研究。接受调查的患者对他们所接受的护理并非普遍满意。根据调查结果，对艾滋病毒住院护理的管理进行了彻底变革。
