Physician contributions to disparities in HIV/AIDS care: the role of provider perceptions regarding adherence.
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.
Stone
Valerie E
VE
Massachusetts General Hospital, 55 Fruit Street, Bulfinch 130, Boston, MA 02114, USA. vstone@partners.org
D023241:Antiretroviral Therapy, Highly Active; D001291:Attitude of Health Personnel; D015658:HIV Infections / Q000188:drug therapy*; D006801:Humans; D010349:Patient Compliance; D010820:Physicians; D010818:Practice Patterns, Physicians'