Journal of the American Medical Association Online (06/23/99-
A study conducted by the HIV Cost and Services Utilization
Consortium has found that access to care for those with HIV
has improved since 1996, but it remains sub-optimal. The
cohort study followed 2,864 respondents between 1996 and 1998.
Specifically, inferior patterns of care were observed for
African Americans and Hispanics compared to whites, the
uninsured and Medicaid-insured compared to those who have
private insurance, women compared with men, and other risk
and/or exposure groups versus men who had sex with men. The
study measured outcomes through service utilization,
ambulatory visits, at least one emergency department visit
(not resulting in hospitalization), at least one
hospitalization, and receipt of antiretroviral therapy. The
researchers recommend careful review of HIV treatment
policies, so that neglected groups receive better care.