Document 2128
 DOCN  M94A2128
 TI    A survey of acceptability of HIV/AIDS cases in hospitals in Yokohama.
 DT    9412
 AU    Doi R; Ichikawa S; Toba M; Kimura K; Tanaka Y; Kashima Y; Yamada T; Ito
       A; Soda K; Dept. of Hygiene, Yokohama City Univ. School of Medicine,
       Japan.
 SO    Int Conf AIDS. 1994 Aug 7-12;10(1):375 (abstract no. PD0108). Unique
       Identifier : AIDSLINE ICA10/94370447
 AB    OBJECTIVE: To evaluate present and future status of the acceptability of
       HIV/AIDS cases in hospitals in Yokohama City and to elucidate the
       factors affecting the situation. METHODS: A questionnaire survey was
       conducted by mailing anonymous self-administering forms to directors of
       122 hospitals in Yokohama in October 1993. Inquirelies included present
       and future situation regarding treatment and case management of
       HIV-infected cases in their hospitals, and the result was analyzed
       focusing on the facility to accept HIV/AIDS cases and what is assumed to
       be factors influencing the present and future condition. This study was
       carried out with cooperation of Yokohama Hospital Association. RESULTS &
       DISCUSSION: Reply was gotten from 71 hospitals (response rate 58%).
       Among them 54 (76%), were private and others were public, and were
       classified by number of beds as follows: less than 100, 41%: 100-200,
       30%; 200-300, 10%; above 200, 29%. Six hospitals had ever had one or
       more cases of HIV/AIDS patients, while 50 hospitals had never experience
       visit of a patient. As for the present situation of medical care of
       HIV/AIDS cases, it was revealed that treatment at OPD was available at 8
       hospitals (11%), that medical and nursing care could be given to an
       inpatient at 5 hospitals (7%) and that 4 hospitals (6%) had facilities
       of surgical operation or delivery. On the other hand, 23 or 33% of the
       hospitals replied that HIV-infected patients could not be accepted, and
       the reasons of inability to accept HIV/AIDS patients are such as
       insufficiency of facilities (72%), unprofitable medical cost (46%) and
       others. It was suggested that most of the hospitals were not yet ready
       or reluctant to accept HIV/AIDS cases, presumably because of the reason
       that most of the hospitals had a lack of experience to have visit of a
       HIV-infected case.
 DE    Acquired Immunodeficiency Syndrome/*EPIDEMIOLOGY/THERAPY  Forecasting
       Health Services Accessibility/*TRENDS  Hospitals, Private/STATISTICS &
       NUMER DATA  Hospitals, Public/STATISTICS & NUMER DATA  Human  HIV
       Infections/*EPIDEMIOLOGY/THERAPY  Japan/EPIDEMIOLOGY  Patient
       Admission/*STATISTICS & NUMER DATA  Refusal to Treat/*STATISTICS & NUMER
       DATA  MEETING ABSTRACT

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