IDEAS home Printed from https://ideas.repec.org/a/sae/medema/v21y2001i1p28-36.html
   My bibliography  Save this article

Factors Influencing Physicians’ Judgments of Adherence and Treatment Decisions for Patients with HIV Disease

Author

Listed:
  • Laura M. Bogart

    (Department of Psychology, Kent State University, Kent, Ohio, Center for AIDS Intervention Research (CAIR), Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin)

  • Sheryl L. Catz

    (Center for AIDS Intervention Research (CAIR), Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin)

  • Jeffrey A. Kelly

    (Center for AIDS Intervention Research (CAIR), Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin)

  • Eric G. Benotsch

    (Center for AIDS Intervention Research (CAIR), Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin)

Abstract

New medications for HIV reduce mortality and morbidity but require strict adherence. Thus, physicians treating HIV-positive patients must weigh both disease severity and likelihood of adherence when deciding whether to start patients on treatment. A national sample of 495 physicians surveyed via mail responded to clinical scenarios depicting HIV-positive patients and indicated whether they would start patients on medication (response rate = 53%). Scenarios varied on the patient characteristics of gender, disease severity, ethnicity, and risk group. Physicians predicted that patients with less severe disease, former injection drug users, and African American men would be less likely to adhere. Perceived adherence and disease severity influenced treatment decisions. Results are discussed in the context of attitudes about minority groups and injection drug users, which may influence adherence judgments in practice settings. Psychological research to identify better methods of predicting medication adherence may serve to inform medical decision making.

Suggested Citation

  • Laura M. Bogart & Sheryl L. Catz & Jeffrey A. Kelly & Eric G. Benotsch, 2001. "Factors Influencing Physicians’ Judgments of Adherence and Treatment Decisions for Patients with HIV Disease," Medical Decision Making, , vol. 21(1), pages 28-36, February.
  • Handle: RePEc:sae:medema:v:21:y:2001:i:1:p:28-36
    DOI: 10.1177/0272989X0102100104
    as

    Download full text from publisher

    File URL: https://journals.sagepub.com/doi/10.1177/0272989X0102100104
    Download Restriction: no

    File URL: https://libkey.io/10.1177/0272989X0102100104?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Franks, Peter & Muennig, Peter & Lubetkin, Erica & Jia, Haomiao, 2006. "The burden of disease associated with being African-American in the United States and the contribution of socio-economic status," Social Science & Medicine, Elsevier, vol. 62(10), pages 2469-2478, May.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:sae:medema:v:21:y:2001:i:1:p:28-36. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: SAGE Publications (email available below). General contact details of provider: .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.