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?

在医疗实践中为普通民众提供咨询与个性化建议，是联邦公共卫生办公室（Federal Office of Public Health, FOPH）对抗HIV/AIDS战略的重要支柱之一。
本次评估旨在探究私人执业医师在HIV/AIDS疫情防控中的作用，这一作用主要体现在医患关系类型与问诊频次两个维度。研究核心关注点为1990年至2002年间，私人医师参与HIV/AIDS预防工作的发展情况。

1990年，首次针对医疗实践中HIV/AIDS预防工作的研究正式开展。该研究旨在考察医师对该项工作维度的重视程度，分析其在艾滋病预防工作中关注的对象与投入方式，并评估其防控策略与联邦公共卫生办公室建议的契合程度。

1995年，研究团队针对艾滋病预防工作覆盖最多的医师群体开展了第二次评估。本次评估旨在描述预防咨询活动的开展情况：包括其系统化程度（聚焦特定人群还是覆盖全体患者）、深化程度（咨询所需时长）以及开展频次（针对个体病例的追加咨询）。此外，研究将本次结果与1990年的调研结果进行对比，最终明确影响艾滋病预防与咨询工作个性化属性及重要程度的相关因素。

2002年，研究团队将开展一项针对预防工作的全新调研。本次调研将重点完成以下内容：评估医师在当前疫情中的角色定位；描述其预防工作开展情况，并与1990年、1995年的调研结果进行对比；阐明其在HIV阳性患者照护工作中的角色；估算由独立执业医师提供照护的HIV感染者占比；最后将医师执业相关数据与针对普通民众的周期性电话调查数据进行比对——该电话调查用于评估瑞士国内的艾滋病预防工作（FORSbase研究第613号）。

本系列研究旨在解答以下评估问题：医师的角色定位是否与国家项目通过个体咨询所赋予的防控职责相符？该项投入的强度与质量是否具备可持续性？家庭医师与专科医师在HIV/AIDS患者照护工作中处于何种位置？其提供的照护服务是否符合患者的实际需求？