HIV as a Chronic Disease: Are Primary Care Physicians Ready?

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dc.contributor.authorEren, Ozgur Can
dc.contributor.authorYigit, Yesim Esen
dc.contributor.authorOzel, Melis
dc.contributor.authorTutucu, Faik
dc.contributor.authorCinar, Gule
dc.contributor.authorErgonul, Onder
dc.date.accessioned2024-04-24T17:20:55Z
dc.date.available2024-04-24T17:20:55Z
dc.date.issued2020
dc.departmentDicle Üniversitesien_US
dc.description.abstractObjective: As HIV infection is becoming a chronic entity, the role of primary care physicians (PCPs) in diagnosis and treatment is getting more significant. We aimed to assess the attitude and competency of the PCPs about HIV infection compared to other specialties and describe the areas for improvement.Materials and Methods: A survey was conducted between 1-31 May 2017 among physicians from different specialties. The questions related to HIV infection in their clinical practice, competency, and knowledge about the transmission and preventability of the disease and their attitude towards suspected patients were asked.Results: We included 492 physicians in the study, consisting of PCPs (32%), infectious disease specialists (IDSs) (13%), internal medicine specialists (IMSs) (30%) and surgeons (25%), practicing in 25 different cities in Turkey. When asked about HIV, 98% of IDSs considered it as a chronic disease, with 35% thinking that it is similar to non-communicable disease (Diabetes Mellitus, Hypertension, Lymphoma). HIV was not a curable disease according to 87% of PCPs, and 21% in IDSs. The 70% of PCPs thought that HIV infection could be transmitted with vectors (p<0.001), although they self-rated their knowledge above the average. According to 34% of PCPs, HIV was transmissible through shared utensils (spoon, fork, glass), according to 50% public pools and toilets could be a source for transmission (p<0.001). Upon diagnosis, only 53% of IDSs provided psychological support to patients, and this rate declined to 1% in PCPs (p<0.001). 28% of PCPs had concerns about treating HIV patients (p<0.001). Conclusion: The potential role of PCPs in the follow up of HIV infected patients would be increased. However, there are significant knowledge and attitude gaps related to HIV infection among PCPs in Turkey. By thinking of increasing the role of primary care, training, and education programs should be implemented for PCPs.en_US
dc.description.sponsorshipKLIMIK (Turkish Society of Clinical Microbiology and Infectious Diseases)en_US
dc.description.sponsorshipThe authors would like to thank KLIMIK (Turkish Society of Clinical Microbiology and Infectious Diseases) for their support.en_US
dc.identifier.doi10.36519/idcm.2020.0011
dc.identifier.endpage90en_US
dc.identifier.issn2667-646X
dc.identifier.issue2en_US
dc.identifier.startpage78en_US
dc.identifier.urihttps://doi.org/10.36519/idcm.2020.0011
dc.identifier.urihttps://hdl.handle.net/11468/19300
dc.identifier.volume2en_US
dc.identifier.wosWOS:001087077300004
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.language.isoenen_US
dc.publisherDoc Design Informatics Co Ltden_US
dc.relation.ispartofInfectious Diseases and Clinical Microbiology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectHuman Immunodeficiency Virusen_US
dc.subjectPrimary Health Careen_US
dc.subjectHealthcare Providersen_US
dc.subjectCorresponding Authoren_US
dc.subjectTraining Programsen_US
dc.titleHIV as a Chronic Disease: Are Primary Care Physicians Ready?en_US
dc.titleHIV as a Chronic Disease: Are Primary Care Physicians Ready?
dc.typeArticleen_US

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