Management and treatment of HIV: are primary care clinicians prepared for their new role?

Autor: Jeffrey L. Alexander, Sampath Wijesinghe
Rok vydání: 2018
Předmět:
Male
Nurse practitioners
Primary care workforce shortage
Human immunodeficiency virus (HIV)
HIV Infections
medicine.disease_cause
01 natural sciences
0302 clinical medicine
030212 general & internal medicine
Practice Patterns
Physicians'
HIV provider shortage
health care economics and organizations
lcsh:R5-920
Communication Barriers
virus diseases
Workload
Survey research
Primary care
Organizational Innovation
Workforce
Female
lcsh:Medicine (General)
Family Practice
Inclusion (education)
Research Article
Adult
medicine.medical_specialty
Attitude of Health Personnel
Challenges with HIV disease
education
Physicians
Primary Care
03 medical and health sciences
health services administration
medicine
Humans
Primary care providers
0101 mathematics
Physician's Role
Primary Health Care
business.industry
010102 general mathematics
HIV
United States
Patient Care Management
Cross-Sectional Studies
Family medicine
Hiv patients
business
Zdroj: BMC Family Practice
BMC Family Practice, Vol 21, Iss 1, Pp 1-11 (2020)
ISSN: 1471-2296
Popis: Background Current literature suggests the number of HIV clinicians in the United States is diminishing. There are 294,834 primary care providers (PCP) in the United States, and, of these, 3101 provide care to HIV-positive patients. More PCPs to treat and manage HIV patients may be the solution to alleviate the HIV provider shortage. However, PCPs also face challenges, including workforce shortages. We surveyed PCPs to determine perceived barriers, beliefs, and attitudes about their readiness to manage and treat HIV patients. Methods Following a quantitative, descriptive, cross-sectional survey design, currently practicing clinicians in primary care (physicians, residents, physician assistants, family nurse practitioners) were emailed a link to the study survey. Three hundred forty-seven family medicine clinicians from 47 states met the study inclusion criteria. Results Most (245/347, 70.6%) of the PCPs agreed that PCPs should take care of HIV patients. PCPs practicing HIV medicine (n = 171) were more likely than those not practicing HIV medicine (n = 176) to agree that PCPs should help with the HIV provider shortage (U = 10,384, p U = 10,294, p Conclusion The HIV provider shortage in the United States is likely to continue. To alleviate the provider shortage, PCPs should be offered additional training, decreased workload, and increased compensation when treating and managing HIV patients. Also, encouraging PAs and family NPs to be involved with HIV medicine may be a solution.
Databáze: OpenAIRE
Externí odkaz: