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1994-09-19
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Document 0321
DOCN M9490321
TI HIV-related disease: family physicians' multiple opportunities for
preventive intervention.
DT 9411
AU Gabel LL; Crane R; Ostrow DC; Department of Family Medicine, Ohio State
University College of; Medicine, Columbus.
SO J Am Board Fam Pract. 1994 May-Jun;7(3):218-24. Unique Identifier :
AIDSLINE MED/94337618
AB 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.
DE Acquired Immunodeficiency Syndrome/*PREVENTION & CONTROL/ TRANSMISSION
AIDS-Related Opportunistic Infections/PREVENTION & CONTROL/
TRANSMISSION Curriculum Education, Medical, Continuing Family
Practice/EDUCATION Human HIV Infections/*PREVENTION &
CONTROL/TRANSMISSION Knowledge, Attitudes, Practice Patient Care Team
*Patient Education *Physician-Patient Relations *Primary Health Care
Support, U.S. Gov't, P.H.S. JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).