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    A shift in referral patterns for HIV/AIDS patients.

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    Authors
    Fournier, Phillip O.
    Savageau, Judith A.
    Baldor, Robert A.
    UMass Chan Affiliations
    Department of Family Medicine and Community Health
    Document Type
    Journal Article
    Publication Date
    2008-02-01
    Keywords
    Acquired Immunodeficiency Syndrome
    Antiretroviral Therapy, Highly Active
    Community Health Services
    Confidence Intervals
    Cross-Sectional Studies
    Family Practice
    Female
    Follow-Up Studies
    HIV Infections
    Humans
    Incidence
    Male
    Multivariate Analysis
    Odds Ratio
    Physician's Practice Patterns
    Probability
    Referral and Consultation
    Retrospective Studies
    Survival Rate
    Time Factors
    Treatment Outcome
    Community Health and Preventive Medicine
    Preventive Medicine
    Primary Care
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    Link to Full Text
    http://www.jfponline.com/Pages.asp?AID=5915
    Abstract
    PURPOSE: With the rapid development (and complex prescribing patterns) of drugs for HIV/AIDS care, it is challenging for physicians to keep current. We conducted a follow-up study to a 1994 cohort study to see how care and referral patterns have changed over the last decade. In this study, we examined how family physicians in Massachusetts were caring for their HIV-infected patients, and to see whether FPs were referring more patients to specialists for care compared with a decade ago. METHODS: We designed a cross-sectional survey as an 11-year follow-up to a previous study. It was mailed in 2005 to the active membership of the Massachusetts Academy of Family Physicians. RESULTS: Compared with the cohort of 1994, the number of HIV+ patients in individual practices remained about the same, but the number of practices with no AIDS patients was significantly higher. 85.3% of FPs noted that they were more likely to refer HIV/AIDS patients immediately compared with their own practice patterns a decade ago. In this study, 39.0% of current respondents referred HIV+ patients immediately, 57.0% co-managed patients, and 4.1% managed these patients alone (the data for the 1994 cohort was 7.0%, 45.8%, and 47.2%, respectively; PCONCLUSIONS: A significant shift amongst FPs with regard to their referral patterns for patients with HIV/AIDS has occurred over the last decade. The community health center has emerged as a resource for patients with HIV/AIDS. Funding for specific training programs on HIV/AIDS care should be targeted to community health centers.
    Source
    J Fam Pract. 2008 Feb;57(2):E1-9.
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/30995
    PubMed ID
    18248723
    Related Resources
    Link to article in PubMed
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    UMass Chan Faculty and Researcher Publications

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