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医生对艾滋病毒/艾滋病护理差异的影响:提供者对依从性的看法所起的作用。

Physician contributions to disparities in HIV/AIDS care: the role of provider perceptions regarding adherence.

作者信息

Stone Valerie E

机构信息

Massachusetts General Hospital, 55 Fruit Street, Bulfinch 130, Boston, MA 02114, USA.

出版信息

Curr HIV/AIDS Rep. 2005 Nov;2(4):189-93. doi: 10.1007/s11904-005-0015-5.

Abstract

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.

摘要

美国的少数族裔在艾滋病毒/艾滋病方面受到的影响尤为严重。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人群。感染艾滋病毒/艾滋病的少数族裔在接受治疗方面存在的差异导致了这些较高的死亡率。本文对艾滋病毒/艾滋病医疗保健方面的差异进行了综述,并探讨了医疗服务提供者对这些差异所起的作用。医疗服务提供者导致差异的一个重要原因似乎是基于这样的观念和假设而进行的差别用药,即认为少数族裔患者对高效抗逆转录病毒疗法的依从性可能较低。本文回顾了关于这一主题的文献,并提出了减少差异的策略。

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