May T, Rabaud C, Amiel C, Vicherat N, Canton P; International Conference on AIDS.
Int Conf AIDS. 1994 Aug 7-12; 10: 372 (abstract no. PD0094).
Service de Maladies Infectieuses et Tropicales, CHU Nancy, France.
In January 1993, a questionnaire was distributed to 749 GP of Lorraine (North-East of France; global population = 2 millions; GP population = 2247; AIDS population = 245). The aim of the study was to record the present and future role of GP in the management of HIV+ patients. This study represents one of the most important national survey ever done since 415 GP answered (55.5%). MANAGEMENT OF HIV+ PATIENTS: 45% of the responders follow one or more HIV infected patients. Only 2.5% are responsible for 40% of HIV+ patients. PATIENTS INFORMATION: 83% of the GP regulary deliver informations on AIDS to their uninfected patients, without any specific request from them in 62% of the cases. This information is preferentially addressed to young adults, patients with sexually transmitted diseases, request for contraception. HIV screening test: 411 GP (99%) have prescribed HIV serology. The number of serological tests prescribed varies from 5 to 126 per year. The test number/visit number ratio decreases as the GP's activity increases. 24% of the GP prescribed one or more serological tests without advising their patients (blood recipients, partners of HIV+ patients, specific evocatrice signs and symptoms). DISCLOSURE OF THE RESULT: 206 GP (49%) estimate that announcing a positive result is very difficult and prefer to refer the patient to a specialized consultation in 80% of the cases; 88 physicians (21%) were the first to detect one or more positive serologies. ROLE OF THE PHYSICIAN: 48% of the GP with no experience of HIV+ patients' follow-up would like to manage this pathology, 57.5% of the GP with HIV infected patients within their practice want to continue their follow-up. Psychosocial care seems to be the greatest difficulty to assume. GP fearing the most this psychosocial aspect are the oldest ones, and mostly live in country. 40 GP (10%) expressed their worry about their own risk of contamination. PHYSICIAN'S INFORMATION: 257 GP (62%) have the feeling that their are not informed enough on AIDS. Physicians with more than 3 HIV+ patients in their practice feel well formed and informed on this pathology. Documentation availability is inadequate for 32% of the GP, and too profuse for 15%. The great majority would apreciate the edition of synthetic and periodic letters. Finally, there is a real request from the GP for the set-up of a town-hospital network.
Publication Types:
Keywords:
- Acquired Immunodeficiency Syndrome
- Adult
- European Continental Ancestry Group
- France
- HIV Infections
- HIV Seropositivity
- Humans
- Physicians
- Physicians, Family
- Population Groups
- Questionnaires
- Referral and Consultation
Other ID:
UI: 102209268
From Meeting Abstracts