       Document 0694
 DOCN  M9610694
 TI    [Opinion of asymptomatic HIV-positive patients about their primary care
       physicians]
 DT    9601
 AU    Belda Ibanez J; Gil Guillen V; Fernandez Garcia E; Trullen Gas P;
       Martinez Quintero R; Prado Saez A; Orozco Beltran D; Centro de
       Informacion y Prevencion del SIDA, Alicante.
 SO    Aten Primaria. 1995 Sep 15;16(4):215-9. Unique Identifier : AIDSLINE
       MED/96016789
 AB    OBJECTIVE. To find the opinion of asymptomatic HIV+patients about their
       Primary Care doctors. DESIGN. A descriptive, crossover study with an
       11-item questionnaire, filled in by the patient him/herself anonymously
       and analysing: communication of being seropositive, frequency of
       attendance, confidence in the doctor and their competence in dealing
       with the patient. SETTING. AIDS Information and Prevention Centre,
       Alicante. PATIENTS. Consecutive sampling of the first 100 HIV+patients
       who attended voluntarily during the first 5 months of 1993 (from January
       3 to May 18 inclusive). MEASUREMENTS. 60.2% (C.I. 95%, 69.9%--50.5%)
       said they communicated their being seropositive to the doctor.
       Intravenous drug users communicated this fact more (72.9%), against 41%
       of the rest of the groups (p = 0.0016). 25% had little or no confidence
       in their doctor and 44% considered him/her incompetent or barely
       competent, with these two variables being related (r = 0.42; p =
       0.0001). Communicating their condition to the doctor is only related to
       more frequent attendance at the clinic (p = 0.0001). The reasons for not
       doing so are due mainly to lack of confidence (30.8%) and didn't think
       of it (46.2%). The doctor's competence obtained the lowest points
       average, 2.6, with its Confidence limits sharing no value with frequency
       of attendance or confidence. CONCLUSIONS. An important percentage of
       patients do not communicate their condition, due basically to problems
       of confidentiality and rejection. There are doubts among HIV+patients
       interviewed about their doctor's competence, at the same time as they
       have little confidence in him/her.
 DE    Adult  Clinical Competence  Comparative Study  Confidentiality
       Cross-Over Studies  English Abstract  Female  Human  *HIV Seropositivity
       Male  *Physician-Patient Relations  Questionnaires  Spain  JOURNAL
       ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

