A study on optimal clinical management for people living with HIV as chronic disease: the necessity of the cooperation between primary care and specialty care

2014 Fiscal Year Final Research Report

• Project/Area Number: 23659263
• Research Category: Grant-in-Aid for Challenging Exploratory Research
• Allocation Type: Multi-year Fund
• Research Field: Medical sociology
• Research Institution: Yokohama City University
• Principal Investigator: SHIRAI Akira 横浜市立大学, 医学(系)研究科(研究院), 客員教授 (40244488)
• Co-Investigator(Kenkyū-buntansha): UEDA Atsuhisa 横浜市立大学, 医学部, 准教授 (60295483) ; ISHIGATSUBO Yoshiaki 横浜市立大学, 医学研究科, 教授 (40137039)
• Project Period (FY): 2011-04-28 – 2015-03-31
• Keywords: ＨＩＶ診療 / 長期診療 / 地域医療 / 専門的医療 / プライマリケア / 医療連携

Outline of Final Research Achievements

Despite HIV being increasingly considered as a chronic illness, there is as yet no consensus about how primary care should be cooperated with specialty care to provide optimal clinical management for people living with HIV. In order to examine the necessity of the cooperation, we conducted questionnaire surveys to both HIV patients and medical staffs in city hospitals.
The results have shown 1) that most of HIV patients receive routine primary care from HIV specialty hospitals and hesitate to receive care from general hospitals because of the distrust regarding confidentiality and concern about HIV-related stigma, and 2) that most of general city hospitals depend on HIV special hospitals for the primary care of HIV patients and hesitate to provide care to HIV patients because of the lack of general understandings of HIV infection especially on the low infectivity of HIV and protocol therapy for HIV infection.

Free Research Field

内科　感染症　膠原病