Factors influencing physicians' judgments of adherence and treatment decisions for patients with HIV disease

Laura M. Bogart, Sheryl L Catz, Jeffrey A. Kelly, Eric G. Benotsch

Research output: Contribution to journalArticle

131 Citations (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)28-36
Number of pages9
JournalMedical Decision Making
Volume21
Issue number1
StatePublished - 2001
Externally publishedYes

Fingerprint

HIV
Physicians
Drug Users
Therapeutics
Minority Groups
Injections
Medication Adherence
Postal Service
African Americans
Psychology
Morbidity
Mortality
Research

Keywords

  • Adherence
  • Antiretroviral treatment
  • Attitudes
  • HIV/AIDS
  • Medical decision making

ASJC Scopus subject areas

  • Health Policy

Cite this

Factors influencing physicians' judgments of adherence and treatment decisions for patients with HIV disease. / Bogart, Laura M.; Catz, Sheryl L; Kelly, Jeffrey A.; Benotsch, Eric G.

In: Medical Decision Making, Vol. 21, No. 1, 2001, p. 28-36.

Research output: Contribution to journalArticle

Bogart, Laura M. ; Catz, Sheryl L ; Kelly, Jeffrey A. ; Benotsch, Eric G. / Factors influencing physicians' judgments of adherence and treatment decisions for patients with HIV disease. In: Medical Decision Making. 2001 ; Vol. 21, No. 1. pp. 28-36.
@article{4cb055fdbf8347f796ea22f89178c578,
title = "Factors influencing physicians' judgments of adherence and treatment decisions for patients with HIV disease",
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.",
keywords = "Adherence, Antiretroviral treatment, Attitudes, HIV/AIDS, Medical decision making",
author = "Bogart, {Laura M.} and Catz, {Sheryl L} and Kelly, {Jeffrey A.} and Benotsch, {Eric G.}",
year = "2001",
language = "English (US)",
volume = "21",
pages = "28--36",
journal = "Medical Decision Making",
issn = "0272-989X",
publisher = "SAGE Publications Inc.",
number = "1",

}

TY - JOUR

T1 - Factors influencing physicians' judgments of adherence and treatment decisions for patients with HIV disease

AU - Bogart, Laura M.

AU - Catz, Sheryl L

AU - Kelly, Jeffrey A.

AU - Benotsch, Eric G.

PY - 2001

Y1 - 2001

N2 - 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.

AB - 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.

KW - Adherence

KW - Antiretroviral treatment

KW - Attitudes

KW - HIV/AIDS

KW - Medical decision making

UR - http://www.scopus.com/inward/record.url?scp=0035085440&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0035085440&partnerID=8YFLogxK

M3 - Article

C2 - 11206944

AN - SCOPUS:0035085440

VL - 21

SP - 28

EP - 36

JO - Medical Decision Making

JF - Medical Decision Making

SN - 0272-989X

IS - 1

ER -