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首页> 外文期刊>BMC Family Practice >At the coalface and the cutting edge: general practitioners’ accounts of the rewards of engaging with HIV medicine
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At the coalface and the cutting edge: general practitioners’ accounts of the rewards of engaging with HIV medicine

机译：站在最前沿和最前沿：全科医生对使用艾滋病毒药物的回报的描述

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Background HIV has become a chronic manageable infection in the developed world, and early and lifelong treatment has the potential to significantly reduce transmission rates in the community. A skilled and motivated HIV medical workforce will be required to achieve these health management and prevention outcomes, but concerns have been noted in a number of settings about the challenges of recruiting a new generation of clinicians to HIV medicine. Methods As part of a larger qualitative study of the HIV general practice workforce in Australia, in-depth interviews were conducted with 31 general practitioners accredited to prescribe HIV medications in community settings. A thematic analysis was conducted of the de-identified transcripts, and this paper describes and interprets accounts of the rewards of pursuing and sustaining an engagement with HIV medicine in general practice settings. Results The rewards of initially becoming involved in providing care to people living with HIV were described as interest and inspiration, community calling and right place, right time. The rewards which then supported and sustained that engagement over time were described as challenge and change, making a difference and enhanced professional identity. Participants viewed the role of primary care doctor with special expertise in HIV as occupying an ideal interface between the ‘coalface’ and the ‘cutting edge’, and offering a unique opportunity for general practitioners to feel intimately connected to both community needs and scientific change. Conclusions Approaches to recruiting and retaining the HIV medical workforce should build upon the intellectual and social rewards of this work, as well as the sense of professional belonging and connection which is imbued between both doctors and patients and across the global and national networks of HIV clinicians. Insights regarding the rewards of engaging with HIV medicine may also be useful in enhancing the prospect of general practice as a career, and strengthening retention and job satisfaction among the existing general practice workforce.
机译：背景技术在发达国家，艾滋病毒已成为一种慢性可控制的感染，早期和终生治疗有可能显着降低社区的传播率。要实现这些健康管理和预防成果，将需要一支熟练且积极主动的HIV医疗队伍，但是在许多情况下，人们对招募新一代临床医生使用HIV药物所面临的挑战表示了担忧。方法作为对澳大利亚艾滋病毒全科医务人员进行较大规模定性研究的一部分，对31名获准在社区环境中开具HIV药物处方的全科医生进行了深入访谈。对未标识的笔录进行了主题分析，本文描述并解释了在一般实践环境中追求和维持与HIV药物接触的回报。结果最初参与为艾滋病毒感染者提供护理的奖励被描述为兴趣和灵感，社区呼唤和正确的地点，正确的时间。然后，随着时间的流逝，支持和维持这种参与的奖励被描述为挑战和变革，产生了变化，并增强了专业形象。参加者认为具有HIV专门知识的基层医疗医生的角色在“珊瑚脸”和“前沿”之间占据着理想的接口，并为全科医生提供了与社区需求和科学变革紧密联系的独特机会。结论招募和保留HIV医务人员的方法应基于这项工作的智力和社会回报，以及医生和患者之间以及遍布全球和全国范围的HIV临床医生网络的专业归属感和联系感。关于接触艾滋病毒药物的奖励的见解也可能有助于提高全科医师作为职业的前景，并增强现有全科医师队伍的保留率和工作满意度。

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