title: Engaging non HIV specialist general practitioners with new priorities in HIV prevention and treatment: qualitative insights from those working in the field.
abstract: BACKGROUND
  The science of HIV prevention and treatment is evolving rapidly, resulting in renewed calls to increase rates of HIV testing and, in particular, facilitate the timely and possibly earlier initiation of treatment, as this has the potential to dramatically reduce new infections. Little is known about how to engage non HIV specialist Australian general practitioners (GPs) with these new priorities.
  
  
  METHODS
  Content related to the engagement of non HIV specialist GPs in the HIV response was identified within the transcripts of in-depth interviews with policy key informants (n=24) and general practice clinicians (n=47) engaged with HIV medicine. A qualitative analysis of the semantic meaning of this content identified three categories of 'issues' described by participants.
  
  
  RESULTS
  Educational issues referred to a lack of attention to HIV in medical curricula, a perception that HIV care is only provided by HIV-specialist GPs, a need to make HIV testing more 'routine' in GP education and a need to strengthen GP awareness of referral options. Organisational issues encompassed time pressures in general practice, and a need for general practice nurses and for rapid testing to become available, as well as formalised peer mentoring and comanagement opportunities. Societal issues included the changing dynamics of HIV transmission and a need to reconnect GPs with the Australian HIV response.
  
  
  CONCLUSIONS
  To successfully engage non HIV specialist GPs in the promotion of regular HIV testing and timely initiation of treatment, challenging issues affecting their capacity and willingness must be urgently addressed.
authors.affiliation: National Centre in HIV Social Research, The University of New South Wales, Sydney, NSW 2052, Australia. c.newman@unsw.edu.au
authors.forename: Christy E
authors.initials: CE
authors.lastname: Newman
authors.forename: Michael R
authors.initials: MR
authors.lastname: Kidd
authors.forename: Susan C
authors.initials: SC
authors.lastname: Kippax
authors.forename: Robert H
authors.initials: RH
authors.lastname: Reynolds
authors.forename: Peter G
authors.initials: PG
authors.lastname: Canavan
authors.forename: John B F
authors.initials: JB
authors.lastname: de Wit
mesh_terms: D044966:Anti-Retroviral Agents / Q000627:therapeutic use; D001315:Australia; D042241:Early Diagnosis; D058005:General Practitioners / Q000193:education*; D015658:HIV Infections / Q000517:prevention & control* / Q000628:therapy; D006679:HIV Seropositivity / Q000175:diagnosis*; D006293:Health Promotion; D006801:Humans; D036301:Qualitative Research; D061665:Time-to-Treatment
chemical_list: D044966:Anti-Retroviral Agents