STRATEGIES FOR IMPROVING PRIMARY CARE FOR HIV PATIENTS

随着艾滋病疫情的持续蔓延，初级保健医生必须 更多地参与艾滋病毒患者的护理。之前的报告显示 初级保健医生表示不愿照顾这一点 由于偏见态度和知识不足而导致的人口 关于艾滋病毒的疾病。还有其他问题还没有被探讨。 可能会影响初级保健医生的动机和 是否愿意照顾艾滋病毒患者，如经济和时间 限制、对传染的恐惧和“精疲力竭”。 本研究将包括对以社区为基础的小学的深入访谈 护理艾滋病毒患者的医生，以及有可能 已经发现并克服了许多与艾滋病毒有关的困难 关心。30名医生将在六个小城市接受采访，这些小城市 在最初指定的高风险区域之外。这项研究的目的 是为了检查激励初级保健医生护理的因素 对于HIV患者，找出初级医生遇到的重要困难 护理爱滋病患者的医生，并了解是什么使 他们必须克服这些困难。 访谈数据将采用定量和定性相结合的方法进行分析 人种学方法。使用单向方差分析，相关性将 在人口统计数据和艾滋病毒患者的经历类型之间寻找 一方面，以及克服这些困难的动机、困难和方法 困难在另一个方面。结果将用于生成新的 假设和设计干预措施，这些干预措施将在未来进行测试 研究的阶段。

As the AIDS epidemic continues to spread, primary care physicians must become more involved in the care of HIV patients. Previous reports suggest that primary care physicians have expressed reluctance to care for this population because of prejudicial attitudes and deficiencies in knowledge about HIV disease. There are other issues that have not yet been explored in depth that may affect primary care physicians' motivations and willingness to care for HIV patients, such as economic and time constraints, fear of contagion and "burnout". This study will consist of in-depth interviews with community-based primary care physicians who care for patients with HIV disease, and who are likely to have identified and overcome many of the difficulties involved in HIV care. Thirty physicians will be interviewed in six small cities that are outside of the originally designated high-risk areas. The aims of the study are to examine the factors that motivate primary care physicians to care for HIV patients, to identify important difficulties encountered by primary care physicians who are caring for HIV patients, and to learn what enabled them to overcome those difficulties. The interview data will be analyzed using quantitative and qualitative ethnographic methods. Using one-way analyses of variance, correlations will be sought between demographic data and type of experience with HIV patients on the one hand, and motivations, difficulties and ways of overcoming those difficulties on the other. The results will be used to generate new hypotheses and to design interventions that will be tested in a future phase of the study.