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CDC HIV/AIDS/Viral Hepatitis/STD/TB Prevention News Update
Variations in the Care of HIV-Infected Adults in the United
Shapiro; Martin F.; Morton, Sally C.; McCaffrey, Daniel F.;
June 23, 1999
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.

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