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Management of Patients With HIV/AIDS: Title and subTitle BreakWho Should Care? FREE

Charles E. Lewis, MD, ScD
[+] Author Affiliations

Reprints: Charles E. Lewis, MD, ScD, Center for Health Promotion and Disease Prevention, University of California, Los Angeles, Box 951772, Los Angeles, CA 90095-1772 (e-mail: lewis@admin.ph.ucla.edu).

Controversies section editor: Phil B. Fontanarosa, MD, Senior Editor.


JAMA. 1997;278(14):1133-1134. doi:10.1001/jama.1997.03550140021011
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FIFTEEN YEARS after the first description of persons diagnosed as having the acquired immunodeficiency syndrome (AIDS),1 and after almost 600 000 cases have been reported to the Centers for Disease Control and Prevention (as of the end of 1996),2 an issue under intense debate is that of who should provide medical care for persons with human immunodeficiency virus (HIV) or AIDS.

See also p 1131.

It was 6 years after the initial report of AIDS cases before the first federal effort to educate health professionals with regard to this problem was formally initiated by establishing AIDS Education and Training Centers (AETCs).3 At that time, about 66 000 AIDS cases had been reported to the Centers for Disease Control and Prevention (using different criteria for the diagnosis than at present).4

The 15 AETCs currently in operation are located throughout the United States. The budget for AETC operation

REFERENCES

Gottlieb MS, Schroff R, Schanker HM, et al.  Pneumocystis carinii pneumonia and mucosal candidiasis in previously healthy homosexual men: evidence of a new acquired cellular immunodeficiency . N Engl J Med . 1981;;305:1425-1431.
Centers for Disease Control and Prevention HIV/AIDS Surveillance Report . 1997;;8:7.
Public Health Service Act, 6 USC §776.
Centers for Disease Control and Prevention.  Trends in AIDS diagnosis and reporting under the expanded surveillance definition for adolescents and adults—United States, 1993 . MMWR Surveill Summ . 1994;;43:826-831.
Kitahata MM, Koepsell TD, Deyo RA, Maxwell CL, Dodge WT, Wagner EH.  Physicians' experience with the acquired immunodeficiency syndrome as a factor in patients' survival . N Engl J Med . 1996;;334:701-706.
Panel on Clinical Practices for Treatment of HIV Infection, US Dept of Health and Human Services. Guidelines for the use of antiretroviral agents in HIV-infected adults and adolescents. Federal Register. June 19, 1997;62:33417-33418.
DiMatteo MR.  Enhancing patient adherence to medical recommendations . JAMA . 1994;;271:79,83.
Kraft SK, Marrero DG, Lazaridis EN, Fineberg N, Qui C, Clark CM Jr.  Primary care physicians' practice patterns and diabetic retinopathy: current levels of care . Arch Fam Med . 1997;;6:29-37.
Hummell HJ, Kaupen-Haas H, Kaupen W.  The referring of patients is a component of the medical interaction system . Soc Sci Med . 1970;;3:597-607.
Lewis CE.  AIDS-related experiences of primary care physicians in rural California, 1995 . West J Med . 1996;;164:415-418.
Ho DD.  Time to hit HIV, early and hard . N Engl J Med . 1995;;333:450-451.

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Gottlieb MS, Schroff R, Schanker HM, et al.  Pneumocystis carinii pneumonia and mucosal candidiasis in previously healthy homosexual men: evidence of a new acquired cellular immunodeficiency . N Engl J Med . 1981;;305:1425-1431.
Centers for Disease Control and Prevention HIV/AIDS Surveillance Report . 1997;;8:7.
Public Health Service Act, 6 USC §776.
Centers for Disease Control and Prevention.  Trends in AIDS diagnosis and reporting under the expanded surveillance definition for adolescents and adults—United States, 1993 . MMWR Surveill Summ . 1994;;43:826-831.
Kitahata MM, Koepsell TD, Deyo RA, Maxwell CL, Dodge WT, Wagner EH.  Physicians' experience with the acquired immunodeficiency syndrome as a factor in patients' survival . N Engl J Med . 1996;;334:701-706.
Panel on Clinical Practices for Treatment of HIV Infection, US Dept of Health and Human Services. Guidelines for the use of antiretroviral agents in HIV-infected adults and adolescents. Federal Register. June 19, 1997;62:33417-33418.
DiMatteo MR.  Enhancing patient adherence to medical recommendations . JAMA . 1994;;271:79,83.
Kraft SK, Marrero DG, Lazaridis EN, Fineberg N, Qui C, Clark CM Jr.  Primary care physicians' practice patterns and diabetic retinopathy: current levels of care . Arch Fam Med . 1997;;6:29-37.
Hummell HJ, Kaupen-Haas H, Kaupen W.  The referring of patients is a component of the medical interaction system . Soc Sci Med . 1970;;3:597-607.
Lewis CE.  AIDS-related experiences of primary care physicians in rural California, 1995 . West J Med . 1996;;164:415-418.
Ho DD.  Time to hit HIV, early and hard . N Engl J Med . 1995;;333:450-451.
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