Family physicians and HIV infection

Area of Science:

• Public Health
• General Practice
• Infectious Diseases

Background:

• Family physicians (FPs) play a crucial role in primary healthcare.
• Integrating HIV patient management into primary care can improve patient outcomes and reduce healthcare costs.
• Understanding current FP involvement and future willingness is key to optimizing HIV care delivery.

Purpose of the Study:

• To assess the current and desired involvement of FPs in managing human immunodeficiency virus (HIV) patients.
• To identify barriers and facilitators for FP engagement in HIV screening, treatment, and follow-up.
• To explore strategies for reducing hospital treatment duration and frequency for HIV patients.

Main Methods:

• A descriptive cross-sectional survey was conducted between 2011 and 2012.
• A self-assessment questionnaire was distributed to FPs in the Pays de la Loire region.
• Data were collected on HIV screening practices, patient management expectations, and willingness for further involvement.

Main Results:

• 871 FPs responded (30.4% response rate).
• 54.2% of FPs reported caring for HIV patients, with an average of 1.4 patients per FP.
• While only 12.2% systematically screened for HIV, 45.4% expressed willingness to manage HIV patients, citing lack of training and patient volume as barriers.

Conclusions:

• FPs are willing to increase their involvement in routine HIV patient care.
• Targeted medical training, particularly in HIV screening, is needed to facilitate greater FP engagement.
• Enhanced FP participation in HIV management could lead to more efficient patient care and potentially reduce hospitalizations.