{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T22:39:11Z","timestamp":1792190351880,"version":"4.4.0"},"reference-count":38,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2004,7,29]],"date-time":"2004-07-29T00:00:00Z","timestamp":1091059200000},"content-version":"vor","delay-in-days":28,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Sociology Health &amp;amp; Illness"],"published-print":{"date-parts":[[2004,7]]},"abstract":"<jats:p><jats:bold>Abstract\u2003<\/jats:bold> This paper focuses on the relationship of HIV medical technologies to current styles of medical practice and highlights issues posed by the technologies for those working and\/or living with HIV. The paper examines HIV anti\u2010retroviral combination therapies and associated tests from the perspective of their prescribers. The prescribers were interviewed during the later part of 2002 at three London HIV clinics. Their comments, considered in light of other recent studies in the field, suggest that current therapies are part of a transitional phase in the epidemic which informs the identification and negotiation of known risks and uncertainty. An undetermined but extended life expectancy, afforded by anti\u2010retroviral therapies, is understood against risk of iatrogenic diseases and\/or viral drug resistance. The tension arising in this situation of unwanted and even uncertain phenomena poses ethical dilemmas and affects doctor\/patient relations. Indeed, it also contributes to a reconfiguring of the lived experience of managing HIV. While the new technologies have offered considerable advances in the medical management of HIV, they are altering the nature of HIV medicine both materially and socially. The scenario is further complicated by the uneven allocation of resources and different patient health and disease states. The heterogeneity of resources, disease states and technological effects points to the need for ongoing and extended evaluation as the relationship between these and the everyday practice of medicine continues to change.<\/jats:p>","DOI":"10.1111\/j.0141-9889.2004.00406.x","type":"journal-article","created":{"date-parts":[[2004,7,29]],"date-time":"2004-07-29T20:47:02Z","timestamp":1091134022000},"page":"575-596","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":35,"title":["After the euphoria: HIV medical technologies from the perspective of their prescribers"],"prefix":"10.1111","volume":"26","author":[{"given":"Marsha","family":"Rosengarten","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Imrie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Flowers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark D.","family":"Davis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Graham","family":"Hart","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2004,7,29]]},"reference":[{"issue":"2","key":"e_1_2_7_2_1","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1215\/10407391-10-2-87","article-title":"Getting real: technoscientific practices and the materialization of reality","volume":"10","author":"Barad K.","year":"1998","journal-title":"Differences: A Journal of Feminist Cultural Studies"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-133-4-200008150-00012"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-9566.1992.tb00119.x"},{"key":"e_1_2_7_5_1","volume-title":"Feminism and Foucault: Reflections on Resistance","author":"Bordo S.","year":"1988"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-2662.2001.00083.x"},{"key":"e_1_2_7_7_1","doi-asserted-by":"crossref","unstructured":"British Medical Journal (BMJ)(2003) 326 31 May.","DOI":"10.1136\/sbmj.0304121"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/03085140220123126"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/09540120050042891"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/13698570210288"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/136345930100500103"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/0950238022000025228"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/09540120050123819"},{"key":"e_1_2_7_14_1","doi-asserted-by":"crossref","DOI":"10.1215\/10407391-1-1-3","article-title":"The biopolitics of postmodern bodies: determinations of self in immune system discourse","volume":"1","author":"Haraway D.","year":"1989","journal-title":"Differences"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199508173330710"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/00126334-200304150-00013"},{"key":"e_1_2_7_17_1","doi-asserted-by":"crossref","unstructured":"Kippax S.andRace K.(forthcoming2003)Sustaining safe practice: twenty years on Social Science and Medicine 57 1\u201312.","DOI":"10.1016\/S0277-9536(02)00303-9"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/09540120220097900"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1525\/maq.1990.4.4.02a00030"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(99)00462-1"},{"key":"e_1_2_7_21_1","volume-title":"ABC of AIDS","author":"Mortimer P.P.","year":"2001"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1080\/136910501753184150"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1080\/03085140050174750"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199803263381301"},{"key":"e_1_2_7_25_1","unstructured":"Persson A.(2003)Health (dis)figures: HIV medicine and body shape change. Paper presented atBody Modifications: Changing Bodies Changing Selves Macquarie University 24\u201326 April 2003."},{"key":"e_1_2_7_26_1","doi-asserted-by":"crossref","unstructured":"Persson A. Race K.andWakeford E.(2003)HIV health in context: negotiating medical technology and lived experience Health 7 4 397\u2013415.","DOI":"10.1177\/13634593030074002"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1136\/sti.79.2.137"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200003303421303"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1177\/136346001004002004"},{"key":"e_1_2_7_30_1","unstructured":"Race K. McInnes D. Wakeford E. Kleinhert V. McMurchie M.andKidd M.(2001)Adherence and communication: reports from a study of HIV general practice Monograph 8\/2001National Centre in HIV Social Research Sydney."},{"key":"e_1_2_7_31_1","unstructured":"Rosengarten M.(2002)\u2018The virus you get this year is not the virus you got 10 years ago\u2019 (London clinician): HIV as active \u2018literate\u2019 matter mediation and medical intervention Bios:Research Group on Social and Ethical Aspects of the Life Sciences Biomedicine and the Life Course Goldsmiths University of London 21 March."},{"key":"e_1_2_7_32_1","doi-asserted-by":"publisher","DOI":"10.1177\/1357034X04041762"},{"key":"e_1_2_7_33_1","unstructured":"Rosengarten M. Race K.andKippax S.(2000)\u2018Touch wood everything will be ok\u2019: gay men's understandings of clinical markers in sexual practice Monograph 7\/2000National Centre in HIV Social Research Sydney."},{"issue":"6","key":"e_1_2_7_34_1","first-page":"311","article-title":"Understanding Protease Inhibitor potency: The intersection of exposure, efficacy, and resistance","volume":"11","author":"Schapiro J.","year":"2001","journal-title":"The AIDS Reader"},{"key":"e_1_2_7_35_1","doi-asserted-by":"publisher","DOI":"10.1093\/sw\/46.2.125"},{"key":"e_1_2_7_36_1","volume-title":"AIDS: The Burden of History","author":"Treichler P.","year":"1988"},{"key":"e_1_2_7_37_1","doi-asserted-by":"publisher","DOI":"10.1258\/095646203321043327"},{"key":"e_1_2_7_38_1","doi-asserted-by":"publisher","DOI":"10.1177\/0011392102050003009"},{"key":"e_1_2_7_39_1","doi-asserted-by":"publisher","DOI":"10.1080\/13691050110149918"}],"container-title":["Sociology of Health &amp; Illness"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.0141-9889.2004.00406.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.0141-9889.2004.00406.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,9]],"date-time":"2023-10-09T19:00:45Z","timestamp":1696878045000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.0141-9889.2004.00406.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2004,7]]},"references-count":38,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2004,7]]}},"alternative-id":["10.1111\/j.0141-9889.2004.00406.x"],"URL":"https:\/\/doi.org\/10.1111\/j.0141-9889.2004.00406.x","archive":["Portico"],"relation":{},"ISSN":["0141-9889","1467-9566"],"issn-type":[{"value":"0141-9889","type":"print"},{"value":"1467-9566","type":"electronic"}],"subject":[],"published":{"date-parts":[[2004,7]]},"assertion":[{"value":"2004-07-29","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}