Important note: Information in this article was accurate in 1993. The state of the art may have changed since the publication date.
Understanding fear of contagion among physicians who care for HIV patients [see comments]
Fam Med. 1993 Apr;25(4):264-8. Unique Identifier : AIDSLINE MED/93307586 Epstein RM; Christie M; Frankel R; Rousseau S; Shields C; Suchman AL; Highland Hospital, Program for Biopsychosocial Study, Rochester,; N.Y.
Abstract:
BACKGROUND: Fear of contagion has been identified as a potential deterrent for primary care physicians who would otherwise care for HIV patients. This study examines physicians' fears of occupational HIV transmission and the ways that they cope with those fears. METHODS: Thirty community-based primary care physicians who were caring for HIV patients were interviewed about their experiences with HIV patients and the meanings they ascribe to those experiences. Qualitative content and narrative analysis were used. RESULTS: Fear of contagion was common despite the relatively low reported self-assessment of risk by primary care physicians. Most physicians considered their level of risk acceptable, but for some it seemed to take a high emotional toll. Some physicians identified their fear as irrational. Physicians reported tension between fear of contagion and ethical responsibility to care for HIV patients. Some physicians were overattentive to infection control measures, whereas others used universal precautions inconsistently. Physicians continued to care for HIV patients despite their fears. Some physicians' family members needed information and reassurance about transmission of HIV. CONCLUSIONS: Some physicians who care for HIV patients are poorly equipped to deal with their own fears. There is a need to examine in greater depth the relationship between fear of contagion and willingness to provide care, and to examine other factors that may be contributing to the expression of these fears.
Keywords: Adult Aged *Attitude of Health Personnel Family Practice Fear Female Human HIV Infections/PREVENTION & CONTROL/*PSYCHOLOGY/*TRANSMISSION Interviews Male Middle Age New England *Occupational Exposure/PREVENTION & CONTROL Physicians/*PSYCHOLOGY Support, U.S. Gov't, P.H.S. Universal Precautions JOURNAL ARTICLE Comment in: Fam Med 1993 Apr;25(4):234-5
931030
M93A0709
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Important note: Information in this article was accurate in 1993. The state of the art may have changed since the publication date.
