Primary care physicians and AIDS. Attitudinal and structural barriers to care

摘要: Objective. —To explore the extent to which primary care physicians are providing health for people with human immunodeficiency virus (HIV) infection and document barriers HIV giving. Design. —National random-sample mailed survey. Participants. —Population-based random sample of 2004 US general internists, family physicians, practitioners in 1990. Response rate was 59%. Main Outcome Measures. —HIV treatment experience, willingness treat HIV-infected patients, negative attitudes toward homosexuals intravenous drug users, fear contagion acquired syndrome (AIDS), perceived lack information about AIDS, time demands care. Results. —Most (75%) had treated one or more patients infection. A majority (68%) believed that they a responsibility infection, yet half (50%) indicated would not, if given choice. Over 80% respondents lacked AIDS caring is consuming. Further, 35% agreed "would feel nervous among group homosexuals" 55% expressed discomfort having users their practice. Physicians who 10 less negativity members these stigmatized groups likely be infected. Conclusions. —These data suggest many responding professionally epidemic but attitudinal may hindering some from patients. ( JAMA . 1991;266:2837-2842)