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Total 15052 results found since Jan 2013.

Missed opportunities to offer HIV tests to high-risk groups during general practitioners STI-related consultations: an observational study
Conclusions In one-third of the STI-related consultations of persons from high-risk groups, no HIV test was performed in primary care, which is lower than previously reported. Risk-based testing has intrinsic limitations and implementation of new additional strategies in primary care is warranted.
Source: BMJ Open - January 21, 2016 Category: Journals (General) Authors: Joore, I. K., Reukers, D. F. M., Donker, G. A., van Sighem, A. I., Op de Coul, E. L. M., Prins, J. M., Geerlings, S. E., Barth, R. E., van Bergen, J. E. A. M., van den Broek, I. V. Tags: Open access, General practice / Family practice, Infectious diseases, Public health, Sexual health, HIV AIDS Research Source Type: research

Understanding HIV-positive patients' preferences for healthcare services: a protocol for a discrete choice experiment
Introduction While the care of HIV-positive patients, including the detection and management of comorbidities, has historically been provided in HIV specialist outpatient clinics, recent years have seen a greater involvement of non-HIV specialists and general practitioners (GPs). The aim of this study is to determine whether patients would prefer to see their GP or HIV physician given general symptoms, and to understand what aspects of care influence their preferences. Methods/analysis We have developed and piloted a discrete choice experiment (DCE) to better understand patients' preferences for care of non-HIV-related ac...
Source: BMJ Open - July 17, 2016 Category: Journals (General) Authors: Youssef, E., Cooper, V., Miners, A., Llewellyn, C., Pollard, A., Lagarde, M., Sachikonye, M., Sabin, C., Foreman, C., Perry, N., Nixon, E., Fisher, M. Tags: Open access, Evidence based practice, General practice / Family practice, Health services research, HIV AIDS Protocol Source Type: research

Missed opportunities for earlier diagnosis of HIV in patients who presented with advanced HIV disease: a retrospective cohort study
Conclusions Missed opportunities to early diagnosis of HIV occur in primary and secondary care. Lack of national guidelines, lack of knowledge regarding CIDs and communication barriers with patients may contribute to a late diagnosis of HIV.
Source: BMJ Open - November 9, 2016 Category: Journals (General) Authors: Levy, I., Maor, Y., Mahroum, N., Olmer, L., Wieder, A., Litchevski, V., Mor, O., Rahav, G. Tags: Open access, General practice / Family practice, Public health, HIV AIDS Research Source Type: research

A population-based study comparing patterns of care delivery on the quality of care for persons living with HIV in Ontario
Conclusions How care is provided had a potentially important influence on the quality of care delivered. Our key limitation is potential confounding due to the absence of HIV stage measures.
Source: BMJ Open - May 13, 2015 Category: Journals (General) Authors: Kendall, C. E., Taljaard, M., Younger, J., Hogg, W., Glazier, R. H., Manuel, D. G. Tags: Open access, General practice / Family practice, Health services research, HIV AIDS Source Type: research

Factors associated with access to HIV care services in eastern Uganda: the Kumi home based HIV counseling and testing program experience
Conclusions: There was relatively high access to HIV care and treatment services at health facilities for HIV positive clients referred from the Kumi home based HIV counseling and testing program. The factors associated with access to HIV care services include; age group, sex, residence and having a supportive family. Stakeholders involved in providing HIV care and treatment services in similar settings should therefore consider these socio-demographic variables as they formulate interventions to improve access to HIV care services.
Source: BMC Family Practice - November 3, 2015 Category: Primary Care Authors: David LubogoJohn DdamuliraRaymond TweheyoHenry Wamani Source Type: research

At the coalface and the cutting edge: general practitioners¿ accounts of the rewards of engaging with HIV medicine
Conclusions: Approaches to recruiting and retaining the HIV medical workforce should build upon the intellectual and social rewards of this work, as well as the sense of professional belonging and connection which is imbued between both doctors and patients and across the global and national networks of HIV clinicians. Insights regarding the rewards of engaging with HIV medicine may also be useful in enhancing the prospect of general practice as a career, and strengthening retention and job satisfaction among the existing general practice workforce.
Source: BMC Family Practice - March 21, 2013 Category: Primary Care Authors: Christy NewmanAsha PerssonJohn de WitRobert ReynoldsPeter CanavanSusan KippaxMichael Kidd Source Type: research

Attitudes about providing HIV care: voices from publicly funded clinics in California
Conclusions. The Affordable Care Act will insure an estimated 20000 more HIV+ patients in California. With a dwindling supply of HIV specialists, many of these patients will be principally cared for by PCPs. PCPs will go to great lengths to ensure that HIV+ patients receive superior care, but they need the support of HIV specialists to expand their skills. Priority should be given to ensuring that expert consultation is widely available to PCPs who find themselves caring for HIV+ patients.
Source: Family Practice - November 18, 2014 Category: Primary Care Authors: Barnes, R., Koester, K. A., Waldura, J. F. Tags: Qualitative Research Source Type: research

Missing the mark: ongoing missed opportunities for HIV diagnosis at an urban medical center despite universal screening recommendations
Conclusions. HIV infected patients continue to present late to care, with low CD4 and commonly utilize OPDs and EDs, where missed opportunities for earlier diagnosis are common. Practices that address augmentation of current HIV testing strategies are needed, especially in outpatient and first-contact acute care settings.
Source: Family Practice - December 15, 2016 Category: Primary Care Authors: Liggett, A., Futterman, D., Umanski, G. I., Selwyn, P. A. Tags: Health Service Research Source Type: research

Rationale, design and initial results of an educational intervention to improve provider-initiated HIV testing in primary care
ConclusionsThe stabilization of the downward trend in HIV testing coincided with this educational intervention. Follow-up data are needed to formally assess the intervention ’s impact on GP testing behaviour whilst considering contextual factors and secular trends.
Source: Family Practice - December 26, 2020 Category: Primary Care Source Type: research

The Evolving Landscape of ASCVD Risk Among Patients With HIV
J Fam Pract. 2022 Jul;71(6 Suppl):S58-S62. doi: 10.12788/jfp.0412.ABSTRACTSummarize the multiple atherosclerotic cardiovascular disease (ASCVD) risk factors commonly present in persons living with human immunodeficiency virus (HIV). Identify factors for clinical assessment and risk stratification in persons with HIV (PWH). Discuss the clinical challenges of dyslipidemia management among the HIV population, including avoidance of major drug-drug interactions (DDIs). Implement appropriate and safe statin therapy in PWH and elevated ASCVD risk.PMID:35960946 | DOI:10.12788/jfp.0412
Source: The Journal of Family Practice - August 12, 2022 Category: Practice Management Authors: Carlos Malvestutto Source Type: research