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  1. Awkward moments in patient-physician communication about HIV risk.

    Article - En anglais

    Background 

    Physicians frequently encounter patients who are at risk for HIV infection, but they often evaluate risk behaviors ineffectively.

    Objective 

    To describe the barriers to and facilitators of comprehensive HIV risk evaluation in primary care office visits.

    Design 

    Qualitative thematic and sequential analysis of videotaped patient-physician discussions about HIV risk.

    Tapes were reviewed independently by physician and patient and were coded by the research team.

    Setting 

    Physicians'offices.

    Participants 

    Convenience sample of 17 family physicians and general internists.

    Twenty-six consenting patients 18 to 45 years of age who indicated concern about or risks for HIV infection on a 10-item questionnaire administered before the physician visit were included.

    Measurements 

    A thematic coding scheme and a five-level description of the depth of HIV-related discussion.

    Results 

    In 73% of the encounters, physicians did not elicit enough information to characterize patients'HIV risk status.

    The outcome of HIV-related discussions was substantially influenced by the manner in which the physician introduced the topic, handled awkward moments, and dealt with problematic language and the extent to which the physician sought the patient's perspective.

    Feelings of ineffectiveness and strong emotions interfered with some physicians'ability to assess HIV risk.

    Physicians easily recognized problematic communication during reviews of their own videotapes. (...)

    Mots-clés Pascal : SIDA, Virose, Infection, Virus immunodéficience humaine, Lentivirus, Retroviridae, Virus, Facteur risque, Relation médecin malade, Communication information, Communauté, Enquête sur terrain, Evaluation, Programme éducatif, Homme, Immunopathologie, Immunodéficit, Education santé

    Mots-clés Pascal anglais : AIDS, Viral disease, Infection, Human immunodeficiency virus, Lentivirus, Retroviridae, Virus, Risk factor, Physician patient relation, Information communication, Community, Field inquiry, Evaluation, Educational schedule, Human, Immunopathology, Immune deficiency, Health education

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

    Cote : 98-0177341

    Code Inist : 002B05C02D. Création : 11/09/1998.