Pradier C, Keita O, Dellamonica P; International Conference on AIDS.
Int Conf AIDS. 1992 Jul 19-24; 8: 224 (abstract no. PuD 9150).
Infectious Diseases Department, University Hospital, Nice, France.
ISSUE/PROBLEM: The high prevalence of HIV infection in southeast France (Alpes-Maritimes, AM) lead health authorities to develop out-patient ways in caring for HIV infected patients. DESCRIPTION OF PROJECT: Objectives: 1- Increase the number of General Practitioners (GP) able to take care of HIV infected patients in the AM. 2- Facilitate the relation between hospital physicians and GP. 3- Involve GP in prevention, information and surveillance of HIV infection in the AM. Method: 1- Education Program on HIV infection organized by the CISIH of Nice for the GP. The program associate every four months: 4 conferences--on HIV epidemiology, psychological and social problems (1), strategies for the management on HIV infection (1), opportunistic infections diagnosis (1), anti-viral drug therapy (1)- and 8 half days training practice (2 half days/month) in the University hospital of Nice. 2- Hospital-GP network and semester meetings to get the knowledge on HIV pathology up-to-date. RESULTS: 36 GPs (mean age 37.9 +/- 4.7, male 82%) have follow the education program in 1991. Their knowledge on HIV pathology and management increased from 2.81 +/- 1.47 to 6.55 +/- 0.81 (self evaluation, score range 0-9). For the 24 GPs who have followed the program 6 months ago: 94% feel more comfortable in caring for HIV patients and think that the Program was effective in managing HIV infection as an out-patient. 60% think that relation with hospital has improved, but the number of HIV infected patients they followed in town did not increase at that time (4.65 +/- 3.71 vs 4.95 +/- 4.7). LESSONS LEARNED: This Program seems to be effective in developing the outpatient management of HIV infection, but most of the patients continue to be followed at hospital. It appears necessary to inform patients that GPs are now able to care for them.
Publication Types:
Keywords:
- Acquired Immunodeficiency Syndrome
- Educational Status
- Evaluation Studies
- France
- HIV Infections
- HIV Seropositivity
- Health Education
- Humans
- Male
- Patient Education as Topic
- Physicians, Family
- Teaching
- education
- methods
Other ID:
UI: 102201831
From Meeting Abstracts