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Survey of HIV patients' views on confidentiality and non-discrimination policies in general practice

In Kensington, Chelsea, and Westminster in 1993-4, general practices knew of 761 HIV positive patients but 1186 HIV positive residents consulted HIV services. This discrepancy hinders the establishment of a therapeutic relationship and prevents primary health care teams gaining experience.

Patients may not believe that general practice is secure for confidential information. Therefore as part of a larger questionnaire we asked patients positive for HIV whether in general they were willing to disclose their diagnosis to practice staff, and then if they would be willing for all staff to know their diagnosis if there was a confidentiality or non-discrimination policy displayed at the practice.

All 1058 surviving HIV patients who attended outpatients departments between October 1992 and March 1994 were approached. We contacted 847 (80%); 170 patients were lost to follow up and 41 were physically …