HIV: patients attitudes to GPs

To describe the characteristics of HIV-infected patients attending hospital HIV outpatient clinics in Melbourne and to measure their attitudes to general practitioners.

Data were collected by attending physician and by a self administered anonymous questionnaire given to patients sequentially and returned by prepaid envelope.

Tertiary hospital HIV outpatient clinics.

HIV-infected patients willing and able to participate.

Response rate 61%. This sample had high occupational status and functional capacity, and 63% had had GP care before hospital attendance. Only a small number of GPs are involved, and their involvement declined after hospital care commenced. There was strong overall support for shared care, although only 7% supported predominant care by a GP in the terminal phase, and only 39% supported predominant care by a GP when completely well. The major factors determining attitude toward GPs were the GPs' attitude, confidentiality and service, with knowledge and skills being more important for GPs who have a special interest in HIV care.

This group of patients have particular concerns about GPs that need to be addressed if GPs are to increase their involvement in HIV care.