The Acquired Immunodeficiency Syndrome Is a Primary Care Disease
Authors: Donald W. Northfelt
Journal: Annals of Internal Medicine (1988)

Editorials15 November 1988The Acquired Immunodeficiency Syndrome Is a Primary Care DiseaseDonald W. Northfelt, MD, Rodney A. Hayward, MD, Martin F. Shapiro, MD, PhDDonald W. Northfelt, MDSearch for more papers by this author, Rodney A. Hayward, MDSearch for more papers by this author, Martin F. Shapiro, MD, PhDSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-109-10-773 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptA crisis is looming for patients with the acquired immunodeficiency syndrome (AIDS): The small number of subspecialists and other interested physicians now caring for most patients with AIDS will be overwhelmed by the large anticipated number of such patients needing care in the future (1). This crisis in the supply of available physicians to care for persons with AIDS and human immunodeficiency virus (HIV) infection can be averted if primary care physicians accept a larger role in confronting the AIDS epidemic.The American Medical Association (2), the American College of Physicians (3), and others (4, 5) have urged every physician...References1. Coolfont Report: a PHS plan for prevention and control of AIDS and the AIDS virus. Public Health Rep. 1986;101:341-8. MedlineGoogle Scholar2. HendeeRapozaRinaldiSchwarz WNRM. The American Medical Association's program on human immunodeficiency virus infection and acquired immunodeficiency syndrome [Editorial]. JAMA. 1987;258:1519-20. CrossrefMedlineGoogle Scholar3. . The acquired immunodeficiency syndrome (AIDS) and infection with the human immunodeficiency virus (HIV). Ann Intern Med. 1988;108:460-9. LinkGoogle Scholar4. Minkoff H. Care of pregnant women infected with human immunodeficiency virus. JAMA. 1987;258:2714-7. CrossrefMedlineGoogle Scholar5. Cooney T. The AIDS epidemic and the general internist [Editorial]. J Gen Intern Med. 1986;1:339-40. CrossrefMedlineGoogle Scholar6. LewisFreemanKaplanCorey CHSC. The impact of a program to enhance the competencies of primary care physicians in caring for patients with AIDS. J Gen Intern Med. 1986;1:287-94. CrossrefMedlineGoogle Scholar7. LewisFreemanCorey CHC. AIDS-related competence of California's primary care physicians. Am J Public Health. 1987;77:795-9. CrossrefMedlineGoogle Scholar8. LewisFreeman CH. The sexual history-taking and counseling practices of primary care physicians. West J Med. 1987;147:165-7. MedlineGoogle Scholar9. Hollander H. Practical management of common AIDS-related medical problems. West J Med. 1987;146:237-40. MedlineGoogle Scholar10. . Diagnosis and management of mycobacterial infection and disease in persons with human immunodeficiency virus infection. Ann Intern Med. 1987;106:254-6. LinkGoogle Scholar11. LuftRemington BJ. Toxoplasmic encephalitis. J Infect Dis. 1988;157:1-6. CrossrefMedlineGoogle Scholar12. Johnson W. Cryptosporidiosis and Isospora belli infection. J Infect Dis. 1988; [In press]. Google Scholar13. DeHovitzPapeBoncyJohnson JJMW. Clinical manifestations and therapy of Isospora belli infection in patients with the acquired immunodeficiency syndrome. N Engl J Med. 1986;315:87-90. CrossrefMedlineGoogle Scholar14. Dismukes W. Cryptococcal meningitis in patients with AIDS. J Infect Dis. 1988;157:624-8. CrossrefMedlineGoogle Scholar15. FischlDickinsonLaVoie MGL. Safety and eflicacy of sulfamethoxazole and trimethoprim chemoprophylaxis for Pneumocystis carinii pneumonia in AIDS. JAMA. 1988;209:1185-9. CrossrefGoogle Scholar16. GottliebKnightMitsuyasuWeismanRothYoung MSRJML. Prophylaxis of Pneumocystis carinii infection in AIDS with pyrimethamine-sulphadoxine [Letter]. Lancet. 1984;2:398-9. CrossrefMedlineGoogle Scholar17. KaraffaRehmCalabrese CSL. Efficacy of monthly pentamidine infusions in preventing recurrent Pneumocystis carinii pneumonia (PCP) in the AIDS patients [Abstract]. In: American Society for Microbiology. Programs and Abstracts—Twenty-Sixth Interscience Conference on Antimicrobial Agents and Chemotherapy. Washington, D.C: American Society for Microbiology; 1986:224. Google Scholar18. BernardPagelSchmittDonnellyArmstrong ELHHD. Clinical trials with aerosol pentamidine for prevention of Pneumocystis carinii pneumonia [Abstract]. Clin Res. 1987;35:468A. Google Scholar19. FischlRichmanGrieco MDM. The efficacy of azidothymidine (AZT) in patients with AIDS and AIDS-related complex: a double-blind, placebo-controlled trial. N Engl J Med. 1987;317:185-91. CrossrefMedlineGoogle Scholar20. Recommendations for assisting in the prevention of perinatal transmission of human T-lymphotrophic virus type III/lymphadenopathy-associated virus and acquired immunodeficiency syndrome. MMWR. 1985;34:721-6, 731-2. MedlineGoogle Scholar21. SteinbrookLoMoultonSaikaHollanderVolberding RBJGHP. Preferences of homosexual men with AIDS for life-sustaining treatment. N Engl J Med. 1986;314:457-60. CrossrefMedlineGoogle Scholar22. Goedert J. Testing for human immunodeficiency virus [Editorial]. Ann Intern Med. 1986;105:609-10. LinkGoogle Scholar23. SivakWormser SG. Predictive value of a screening test for antibodies to HTLV-III. Am J Clin Pathol. 1986;85:700-3. CrossrefMedlineGoogle Scholar24. Goedert J. What is safe sex? N Engl J Med. 1987;316:1339-42. CrossrefMedlineGoogle Scholar25. DouglasKalmanKalman CCT. Homophobia among physicians and nurses: an empirical study. Hosp Community Psychiatry. 1985;36:1309-11. MedlineGoogle Scholar26. MathewsBoothTurnerKessler WMJL. Physicians' attitudes toward homosexuality: survey of a California county medical society. West J Med. 1986;144:106-10. MedlineGoogle Scholar27. MortonMcManus AI. Attitudes to and knowledge about the acquired immune deficiency syndrome: lack of a correlation. Br Med J. 1986;293:1212. CrossrefMedlineGoogle Scholar28. KellySt. LawrenceSmithHoodCook JJSHD. Medical students' attitudes toward AIDS and homosexual patients. J Med Educ. 1987;62:549-56. MedlineGoogle Scholar29. Owen W. The clinical approach to the male homosexual patient. Med Clin North Am. 1986;70:499-535. CrossrefMedlineGoogle Scholar30. Anonymous. The doctor's duty toward AIDS patients. Lancet. 1987;1:1274. MedlineGoogle Scholar31. Staver S. Unethical to refuse to treat HIV-infected patients, AMA says. Am Med News. 1987 Nov 20:1. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByInterprofessional Education Within a Pilot HIV-Care Elective CourseThe Evolution of HIV Prevention Interventions and Chronic Disease ManagementAn Epidemic in Evolution: The Need for New Models of HIV Care in the Chronic Disease EraPhysician Specialization and Women's Primary Care Services in an Urban HIV ClinicProvider training and experience for people living with HIV/AIDSSpecialty training and specialization among physicians who treat HIV/AIDS in the United StatesRelation of physician specialty and HIV/AIDS experience to choice of guideline-recommended antiretroviral therapyToward a Definition of HIV Expertise: A Survey of Experienced HIV PhysiciansPublic Opinion Concerning Group Involvement for Children with AIDSOptimizing Care for Persons with HIV InfectionFrederick M. Hecht, MD, Ira B. Wilson, MD, MSc, Albert W. Wu, MD, Robert L. Cook, MD, MPH, and Barbara J. Turner, MD, for the Society of General Internal Medicine AIDS Task ForceThe Relation Between Physician Experience and Patterns of Care for Patients With AIDS-Related Pneumocystis carinii PneumoniaPrimary Care Physicians and Barriers to Providing Care to Persons with HIV/AIDSClinic Services for Persons with AIDS Experience in a High-Prevalence StateStructure of a primary care support system to coordinate comprehensive care for children and families infected/affected by human immunodeficiency virus in a managed care environmentHIV and the Primary Care Physician in JapanPediatric AIDS: Are Physicians Ready?Physicians' Experience with the Acquired Immunodeficiency Syndrome as a Factor in Patients' SurvivalImproving the Outcomes of Care for Patients with Human Immunodeficiency Virus InfectionPatient Report of HIV Risk Screening by Primary Care PhysiciansAbility of primary care physicians to diagnose and managePneumocystis carinii pneumoniaPrevalence and Detection of HIV Risk Behavior in Primary Care: Implications for Clinical Preventive ServicesFactors associated with initiation of primary medical care for HIV-infected personsPreventive Care Among HIV-Positive Patients in a General Medicine PracticeSubstance abuse and AIDSComing to terms with the era of AIDS:Management of HIV Infection: A Summary of Summaries (I)Physicians and AIDSHuman immunodeficiency virus infection in intravenous drug users: A model for primary careScreening for Risk of HIV Exposure Using the A-I-D-S MnemonicThe ambulatory care of HIV-infected personsADDRESSING HIV INFECTION IN OFFICE PRACTICEEVALUATION AND TREATMENT OF LATER MANIFESTATIONS OF HIV INFECTIONLEGAL AND INSURANCE ISSUESHow do patients with HIV perceive their general practitioners?Stigma, AIDS and quality of nursing care: state of the scienceA National Study of AIDS and Residency Training: Experiences, Concerns, and ConsequencesRodney A. Hayward, MD, Martin F. Shapiro, MD, PhDHIV disease in the intravenous drug userPrimary care and HIV diseaseProgram directors’ attitudes towards residents’ care of patients who have AIDSLetter from Chicago: RoundsPrimary Care for Patients with Human Immunodeficiency Virus (HIV) Infection in a Methadone Maintenance Treatment ProgramPeter A. Selwyn, MD, MPH, Anat R. Feingold, MD, Anita Iezza, RPAC, Meera Satyadeo, RPAC, Janice Colley, RPAC, Rafael Torres, RPAC, Jane F. M. Shaw, MDEthical Aspects in the Care of Patients with AIDSEarlier Diagnosis of Human Immunodeficiency Virus (HIV) Infection and More CounselingD. Peter Drotman, MDThe challenges of AIDS education for physiciansA Man with Shortness of Breath, Weight Loss, and Night Sweats 15 November 1988Volume 109, Issue 10Page: 773-775KeywordsAIDSForecastingHIVHIV infectionsPatientsPrimary care physiciansSub-specialty care Issue Published: 15 November 1988 PDF DownloadLoading ...