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General Practitioners as partners for a shared management of chronic HIV infection: An insight into the perspectives of Italian People Living with HIV.
Bruno, Serena Rita; Poliseno, Mariacristina; Vichi, Francesca; Esperti, Sara; Di Biagio, Antonio; Berruti, Marco; Ferrara, Sergio; Pisani, Luigi; Saracino, Annalisa; Santantonio, Teresa Antonia; Lo Caputo, Sergio.
  • Bruno SR; Department of Clinical and Experimental Medicine, Infectious Diseases Unit, A.O.U. "Policlinico Riuniti", Foggia, Italy.
  • Poliseno M; Department of Clinical and Experimental Medicine, Infectious Diseases Unit, A.O.U. "Policlinico Riuniti", Foggia, Italy.
  • Vichi F; Department of Biomedical Sciences and Human Oncology, Clinic of Infectious Diseases, University of Bari "Aldo Moro", Bari, Italy.
  • Esperti S; Unit of Infectious Diseases, Santa Maria Annunziata Hospital-Bagno a Ripoli, Florence, Italy.
  • Di Biagio A; Unit of Infectious Diseases, Santa Maria Annunziata Hospital-Bagno a Ripoli, Florence, Italy.
  • Berruti M; Department of Health Sciences, Unit of Infectious Diseases, San Martino Policlinico Hospital, University of Genoa, Genoa, Italy.
  • Ferrara S; Department of Health Sciences, Unit of Infectious Diseases, San Martino Policlinico Hospital, University of Genoa, Genoa, Italy.
  • Pisani L; Department of Clinical and Experimental Medicine, Infectious Diseases Unit, A.O.U. "Policlinico Riuniti", Foggia, Italy.
  • Saracino A; Department of Intensive Care, Amsterdam University Medical Centers-Location AMC, Amsterdam, The Netherlands.
  • Santantonio TA; Department of Biomedical Sciences and Human Oncology, Clinic of Infectious Diseases, University of Bari "Aldo Moro", Bari, Italy.
  • Lo Caputo S; Department of Clinical and Experimental Medicine, Infectious Diseases Unit, A.O.U. "Policlinico Riuniti", Foggia, Italy.
PLoS One ; 16(7): e0254404, 2021.
Article in English | MEDLINE | ID: covidwho-1304473
ABSTRACT
Is it possible to achieve a collaboration between Infectious Diseases (ID) Specialists and General Practitioners (GPs) in the management of chronic HIV infection? A cross sectional survey was conducted among People Living with HIV (PLWHIV) attending the outpatient services of four Italian Infectious Diseases Centers to understand to which extent patients trust their GPs and involve them in the management of their chronic condition. Information about level of communication with GPs, subjective perception of the disease, and presence of co-medications were collected and matched with socio-demographic data using χ2statistics. A p<0.05 was considered statistically significant. From December 2019 to February 2020, 672 patients completed the survey, 59% males and 56% >50 years. Overall, 508 patients (76%) had informed GPs about HIV-positivity. Communication of diagnosis was significantly associated with age >50years, lower education level, history of disease >10 years and residency in Northern Italy. The "Undetectable = Untrasmittable" (U = U) concept was investigated as an indirect measure of perceived stigma. 23% of subjects was unaware of its meaning. Despite undetectable status, 50% of PLWHIV found difficult to communicate their condition to GPs, especially married (52% vs 48% of unmarried, p = 0.003), well-educated patients (51% vs 48, p = 0.007), living in Southern vs Northern Italy (52% vs 46%, p< 0.001). More than 75% of the participants consulted the ID specialist for co-medications and DDIs management, often complaining a lack of communication of the former with GPs. Overall, a good level of communication between PLWHIV and GPs was outlined, even if a wider involvement of the latter in HIV care is desirable.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: HIV Infections / General Practitioners Type of study: Observational study / Prognostic study / Randomized controlled trials Limits: Adult / Female / Humans / Male / Middle aged Language: English Journal: PLoS One Journal subject: Science / Medicine Year: 2021 Document Type: Article Affiliation country: Journal.pone.0254404

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Full text: Available Collection: International databases Database: MEDLINE Main subject: HIV Infections / General Practitioners Type of study: Observational study / Prognostic study / Randomized controlled trials Limits: Adult / Female / Humans / Male / Middle aged Language: English Journal: PLoS One Journal subject: Science / Medicine Year: 2021 Document Type: Article Affiliation country: Journal.pone.0254404