How Normalised Is HIV Care in the UK? A Survey of Current Practice and Opinion
May 8, 2007
The prognosis for individuals infected with HIV has changed dramatically over the past 10 years, with patients living longer and requiring other specialist services," the authors of this study explained. In the United Kingdom, they wrote, it is apparent that access of other health care professionals to clinical information about a patient's HIV care differs between centers. Such lack of awareness of an individual's HIV status could compromise his or her clinical care. Thus, the authors sought to establish current practice and identify the views of clinicians caring for HIV-positive patients.
Questionnaires regarding use of combined HIV and hospital notes and the ability of general practitioners and other hospital specialists to access information about a patient's HIV care were sent to lead consultants in all genitourinary medicine departments in the United Kingdom. Clinicians' opinions on the normalization of HIV management were also sought.
Twelve percent of respondents (16/130) used combined notes (inpatient and outpatient). The patient's identifying number was used to request blood tests by 86 percent. Forty-two percent of respondents reported encountering difficulties in communication that affected delivery of care for an HIV-positive patient.
The authors concluded that centers using combined notes had a higher frequency of communication with other providers, suggesting a higher standard of care. "Physicians involved in HIV care should consider combining patients' HIV and hospital notes for improved clinical care," they wrote.
Sexually Transmitted Infections
4.2007;Vol. 83: P. 131-154; E. Rutland; E. Foley; C. O’Mahony; R.F. Miller; R. Maw; P. Kell; D. Rowen on behalf of the British Co-operative Clinical Group of the British Association of Sexually Transmitted Infections and HIV
This article was provided by CDC National Prevention Information Network. It is a part of the publication CDC HIV/Hepatitis/STD/TB Prevention News Update.