title: The Hispanic, gay, lesbian, bisexual and HIV-infected experience in health care.
abstract: This presentation, relying both on personal experience and an array of studies, surveys the problems minorities face in trying to obtain adequate health care. From another viewpoint, these are problems that physicians have in trying to provide health care to persons they do not understand and cannot really see or hear. And the problems multiply when the patient is a minority in more than one sense. The gay, Hispanic, HIV+ patient, for example, is removed from the average physician's comprehension to a degree that is itself almost incomprehensible. Treating patients as they ought to be treated requires that physicians overcome many layers of prejudice and unfounded assumptions. Failure to overcome such prejudices distorts medical practice.
authors.affiliation: Columbia University College of Physicians and Surgeons, and Director, Behavioral Health, HIV/AIDS Center, St. Luke's-Roosevelt Hospital Center, New York, NY 10032, USA.
authors.forename: M L
authors.initials: ML
authors.lastname: Wainberg
mesh_terms: D001727:Bisexuality; D002983:Clinical Competence; D005260:Female; D015658:HIV Infections; D006630:Hispanic or Latino; D018452:Homosexuality, Female; D018451:Homosexuality, Male; D006801:Humans; D008297:Male; D001523:Mental Disorders; D008913:Minority Groups; D010817:Physician-Patient Relations; D011287:Prejudice