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  1. Combining specialist and primary health care teams for HIV positive patients : retrospective and prospective studies.

    Article - En anglais

    Objective

    To develop and evaluate a model of health care for HIV positive patients involving specialist, hospital based teams and primary health care teams.

    Design-One year retrospective and 2 1/2 year prospective study.

    Setting-Two hospitals in west London and 88 general practitioners in 72 general practices.

    Subjects-209 adults with HIV infection

    Intervention-General practitioners enrolled in the project were faxed structured outpatient clinic summaries.

    When hospital inpatients were discharged, a brief discharge summary was faxed.

    General practitioners had access to consultant physicians skilled in HIV medicine through a 24 hour mobile telephone service.

    An HIV/AIDS management and treatment guide containing relevant local information was produced.

    Quarterly discussion forums for general practitioners were held, and a regular newsletter was produced.

    Main outcome measures-Hospital attendance and general practitioner consultations ; perceived benefits and problems of patients and general practitioners.

    Results

    The average length of a hospital inpatient stay was halved for those patients who had participated in the project for two years, and the average number of visits to the outpatient clinic per month fell for patients with AIDS.

    There was a substantial increase in the number ofvisits to general practitioners by patients with AIDS and symptomatic HIV infection.

    Patients and general practitioners both felt that the standard of health care provided had i...

    Mots-clés Pascal : Virus immunodéficience humaine, Séropositivité, Infection, Virose, Système santé, Attitude, Surveillance, Adulte, Soin santé primaire, Spécialité médicale, Coordination, Lentivirinae, Retroviridae, Virus, Homme

    Mots-clés Pascal anglais : Human immunodeficiency virus, Seropositivity, Infection, Viral disease, Health system, Attitude, Surveillance, Adult, Primary health care, Medical specialty, Coordination, Lentivirinae, Retroviridae, Virus, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0169032

    Code Inist : 002B30A03B. Création : 199608.