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M94A1810.TXT
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1994-10-24
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Document 1810
DOCN M94A1810
TI Problems with communication between a specialist HIV unit and primary
care.
DT 9412
AU Guthrie B; Barton S; Chelsea and Westminster Hospital, London, UK.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):446 (abstract no. PD0391). Unique
Identifier : AIDSLINE ICA10/94370765
AB OBJECTIVE: To assess communication between a specialist HIV unit in
London, UK and general practitioners (GPs). METHOD: 1. 213 patients who
had attended HIV outpatients in August 1993 had given written permission
for their GP to be written to. The notes of 206 (96.7%) of them were
inspected for evidence of letters written to their GP. 2. The general
practice notes of 48 patients in four general practices were inspected
to count consultation rates and communication from the hospital during
1993. RESULTS: 1. 66.5% and 44.2% of patients had not had a letter
written in the last 3 months and the last year respectively. There was
no difference between patients with AIDS and those without. Only 30% of
GPs were informed within one month about a first AIDS diagnosis and only
22% within one month of a first CMV retinitis diagnosis. 2. The 48
patients had been seen by their GPs 150 times in the first ten months of
1993 with a mean consultation rate since registration of 3.9 contacts
per year. The GPs had received no letters in 1993 on 27/48 (56%)
patients and had received discharge summaries for only 9/34 (26%) of
these patients' admissions to hospital in 1993. CONCLUSIONS: In the UK
HIV services have largely evolved from genitourinary medicine where
there is a tradition of total confidentiality. Increasingly though, care
for patients with HIV has moved into the community and HIV services must
adapt to this by changing the way they relate to community health
services. This audit has led to the development of strategies to improve
communication, examples of which will be presented in the context of the
maintenance of patient confidentiality and choice.
DE *Communication *Family Practice *Hospitals Human *HIV Infections
*Interprofessional Relations London MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).