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GPs, STDs and life insurance

F E Keane1, S M Young

  • 1Department of Genito-urinary Medicine, Leicester Royal Infirmary, UK.

International Journal of STD & AIDS
|September 1, 1994
PubMed
Summary

General practitioners (GPs) often do not document referrals to genitourinary medicine (GUM) departments, particularly for HIV testing. Many GPs are influenced by life insurance requirements when handling patient information from GUM visits.

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Area of Science:

  • General Practice
  • Genitourinary Medicine
  • Public Health

Background:

  • General practitioners (GPs) play a crucial role in patient referrals to genitourinary medicine (GUM) departments.
  • GPs' practices regarding referrals, record-keeping, and information sharing with insurance companies require examination, especially concerning sensitive health issues like HIV and STDs.
  • Life insurance policies significantly influence how GPs manage patient information related to GUM attendances.

Purpose of the Study:

  • To investigate general practitioners' (GPs) perspectives on patient referrals to genitourinary medicine (GUM) departments.
  • To understand GPs' practices concerning referral methods, record keeping, and information disclosure to insurance companies for GUM-related attendances.
  • To identify challenges faced by GPs in managing patient information in the context of GUM visits and life insurance applications.

Main Methods:

  • A questionnaire survey was distributed to 429 general practitioners.
  • A response rate of 68% (294 GPs) was achieved.
  • Data analysis focused on referral methods, record-keeping practices, and GPs' views on information disclosure.

Main Results:

  • Written referrals were less common for HIV compared to sexually transmitted diseases (STDs) and other genital problems.
  • Significant percentages of GPs did not keep records of referrals for HIV testing (29%), STDs (13%), and other genital problems (8%).
  • Many GPs lacked knowledge about the use of information supplied to insurance companies and acknowledged that life insurance considerations influenced their practices.

Conclusions:

  • GPs' documentation and referral practices for GUM attendances, especially for HIV, require improvement.
  • Clearer guidelines are needed for GPs regarding information sharing with insurance companies, balancing patient confidentiality with disclosure requirements.
  • Addressing GPs' knowledge gaps and concerns related to life insurance applications is essential for ethical and effective patient care in genitourinary medicine.
Keywords:
Empirical ApproachHealth Care and Public HealthProfessional Patient Relationship

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