Physician contributions to disparities in HIV/AIDS care: the role of provider perceptions regarding adherence.
Physician contributions to disparities in HIV/AIDS care: the role of provider perceptions regarding adherence.
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DOI：
10.1007/s11904-005-0015-5
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发表时间：
2005-11-01
影响因子：
4.6
通讯作者：
Stone, Valerie E
中科院分区：
文献类型：
--
作者：
Stone, Valerie E
美国的少数种族/族裔受艾滋病毒/艾滋病的影响特别大。除了艾滋病毒/艾滋病感染率较高外，感染艾滋病毒/艾滋病的少数族裔的死亡率也高于美国其他族裔。感染艾滋病毒/艾滋病的少数群体得到的护理不平等，是造成这些较高死亡率的原因。本文回顾了艾滋病毒/艾滋病医疗保健差异，并探讨了提供者对这些差异的贡献。提供者造成差异的一个重要来源似乎是基于少数群体患者可能对高效抗逆转录病毒疗法的依从性较低的看法和假设而开的不同处方。有关这一主题的文献进行了审查，并提出了减少差距的战略。
Racial/ethnic minorities in the United States are disproportionately affected by HIV/AIDS. In addition to having higher rates of HIV/AIDS, minorities with HIV/AIDS have higher mortality rates than others in the United States. Disparities in the care received by minorities living with HIV/AIDS contribute to these higher mortality rates. This article provides a review of HIV/AIDS health care disparities and explores providers' contributions to these disparities. An important source of provider contribution to disparities appears to be differential prescribing based on perceptions and assumptions that minority patients may have lower adherence to highly active antiretroviral therapy. Literature regarding this topic is reviewed and strategies for reducing disparities are suggested.