Rolle der privat praktizierenden ÄrztInnen in der HIV/Aids-Epidemie - 2002
Advising and giving personal advice to the general population in the medical practice is one of the important pillars of the strategy pursued by the Federal Office of Public Health (FOPH) to combat HIV/AIDS.
The aim of the evaluation is to investigate the role of private practitioners in the HIV/AIDS epidemic, which is mainly reflected in the type of doctor-patient relationship and the frequency of consultations. The main concern is to develop their participation in prevention between 1990 and 2002.
A first study on HIV/AIDS prevention in the medical practice was conducted in 1990.
It examines the importance doctors attach to this dimension of their work and to whom and in what way they devote their attention in relation to AIDS prevention, and to what extent their strategy corresponds to the recommendations of the Federal Office of Public Health.
In 1995, a second evaluation was carried out among the doctors most affected by AIDS prevention. The aim is to describe the counselling activity for prevention: its systematisation (concentrated on certain groups or extended to all patients), its deepening (time required for counselling) and its frequency (further counselling in the individual cases). Furthermore, the behaviour is compared with the results of 1990 in order to finally determine the factors that guide the personal nature and the importance of AIDS prevention and counselling.
A new survey on prevention activities will be carried out in 2002. In particular, it will assess the current role of doctors in the epidemic; describe their prevention activities and compare them with those identified in 1990 and 1995; describe their role in the care of HIV-positive patients; estimate the proportion of people with HIV who are cared for by independent practitioners and finally compare the data on doctors' practices with those obtained through a periodic telephone survey among the general population to evaluate AIDS prevention in Switzerland (FORSbase study nr. 613).
The entire study should help to answer the following evaluation questions: Is the role of the doctors identical to that assigned to them by the national programme in prevention through individual counselling? Is the intensity and quality of this commitment sustainable? What is the position of family doctors and specialists in caring for people with HIV/AIDS and does their care meet the needs of the patients?