HIV-Related Disease: Family Physicians' Multiple Opportunities For Preventive Intervention
HIV-Related Disease: Family Physicians' Multiple Opportunities For Preventive Intervention
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艾滋病毒相关疾病：家庭医生预防性干预的多种机会
DOI：
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发表时间：
1994
影响因子：
2.9
通讯作者：
D. Ostrow
中科院分区：
文献类型：
--
作者：
L. L. Gabel;Rob Crane;D. Ostrow
背景资料：人体免疫机能丧失病毒（艾滋病毒）的蔓延和后天免疫机能丧失综合症（艾滋病）患者人数的增加是主要的健康问题。艾滋病毒风险因素有充分的文件记录，艾滋病毒疾病被认为是一种慢性疾病，其病程可以预测。研究方法：自1987年9月以来，中东部卫生专业人员艾滋病教育和培训中心已为密歇根州、俄亥俄州、肯塔基州和田纳西州提供服务。这些活动包括：（1）对初级保健提供者进行艾滋病预防和治疗方面的教育和培训;（2）对选定的个人进行培训，以培训其他人;（3）提供艾滋病毒疾病多学科管理方面的指导;（4）传播关于艾滋病毒和艾滋病的最新信息;（5）通过转诊活动发挥支助系统的作用。结果如下：太多的初级医生，包括家庭医生，对有感染艾滋病毒风险或已感染艾滋病毒的病人感到不安。有时可以避免对其他患有不同慢性或致命疾病的患者的长期关注和关注。病人也是护理的障碍，使家庭医生难以提供适当的护理。结论：了解HIV感染的自然史是家庭医生在预防和处理HIV方面发挥重要作用的组成部分。一个作用是筛查高危人群;这一职能通常伴随着教育机会。第二个作用是将与艾滋病毒有关的疾病纳入主流;如果家庭医生治疗艾滋病毒阳性者，那么艾滋病就不是“别人的问题”。第三个角色是领导;当家庭医生克服恐惧和偏见时，他们成为榜样。每一个角色都符合长期以来的家庭习俗传统。
Background: The spread of the human immunodeficiency virus (HIV) and the increasing number of persons with acquired immunodeficiency syndrome (AIDS) are major health problems. HIV risk factors are well documented, and HIV disease is recognized as a chronic illness with a predictable course. Methods: Since September 1987 the East Central AIDS Education and Training Center for Health Professionals has served Michigan, Ohio, Kentucky, and Tennessee. Activities include (1) educating and training primary health care providers on prevention and treatment of AIDS, (2) training selected individuals to train others, (3) providing guidance in multidisciplinary management of HIV disease, (4) disseminating updates about HIV and AIDS, and (5) serving as a support system through referral activities. Results: Too many primary physicians, including family physicians, are uncomfortable with patients who are at risk for becoming infected with HIV or who are HIV-infected. Long-term concern and attention that might normally be offered to other patients with different chronic or fatal diseases are sometimes avoided. Patients also present barriers to care, making it difficult for family physicians to provide appropriate care. Conclusions: Understanding the natural history of HIV infection is integral to family physicians' important roles in preventing and dealing with HIV. One role is screening at-risk persons; this function usually has associated opportunities for education. A second role is mainstreaming HIV-related illnesses; if family physicians treat HIV-positive persons, then AIDS is not “someone else's problem.” A third role is leadership; as family physicians overcome fear and prejudice, they become role models. Each role is consistent with long-held traditions of family practice.
静脉吸毒者中的艾滋病毒感染：流行病学和降低风险。
DOI：
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发表时间：
1987
期刊：
AIDS (London, England)
影响因子：
--
作者：
DesJarlais,DC;Friedman,SR
通讯作者：
Friedman,SR