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.
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.
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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0169032
Code Inist : 002B30A03B. Création : 199608.