{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T21:12:35Z","timestamp":1760044355181},"reference-count":29,"publisher":"American Public Health Association","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Public Health"],"published-print":{"date-parts":[[2001,5,1]]},"abstract":"<jats:p> Although dramatic advances in clinical treatment have greatly improved the lives of many people with HIV\/AIDS, many other patients do not have information about or access to these treatments because of health care providers' presumptive judgments about patients' ability to adhere to medical regimens. The authors contend that with sufficient support and education most patients, even those with difficult social and medical problems, can be helped to initiate and maintain HIV treatment in accordance with current clinical standards. This commentary delineates a new paradigm for HIV care in which patients and providers collaborate on individualized plans to establish patients' readiness for treatment, ensure maintenance of treatment, and make use of the social services necessary to accomplish these goals. Providers have an ethical responsibility to do everything possible to see that patients who might benefit from new HIV treatments have a fair opportunity to do so, and health systems have a responsibility to facilitate this process. Substantial progress toward meeting these responsibilities can be made within the current health care environment. <\/jats:p>","DOI":"10.2105\/ajph.91.5.690","type":"journal-article","created":{"date-parts":[[2008,11,29]],"date-time":"2008-11-29T13:33:29Z","timestamp":1227965609000},"page":"690-694","source":"Crossref","is-referenced-by-count":17,"title":["A new paradigm for HIV care: ethical and clinical considerations"],"prefix":"10.2105","volume":"91","member":"844","reference":[{"key":"p_1","unstructured":"Aglance at the HIV epidemic. Centers for Disease Control and Prevention. December 1999. Available at: http:\/\/www.thebody.com\/ cdc\/aglance.html. Accessed March 22, 2001."},{"key":"p_2","first-page":"43","volume":"47","author":"Dept J.","year":"1998","journal-title":"MMWR Morb Mortal Wkly Rep."},{"key":"p_3","unstructured":"Gulick R. Update on antiretroviral therapy. 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Berkeley: University of California Press; 1999."},{"key":"p_10","unstructured":"New data show AIDS patients less likely to be hospitalized [press release]. Atlanta, Ga: Centers for Disease Control and Prevention, National Center for Health Statistics; June 8, 1999. Available at: http:\/\/www.cdc.gov\/od\/oc\/media\/ pressrel\/r990608.htm. Accessed February 22, 2001."},{"key":"p_11","unstructured":"Webster RD, Barr D. Adherence to highly active antiretroviral therapy (HAART) among individuals with HIV\/AIDS: a compendium of HAART adherence research, November 1997-November 1999. Paper presented at: Forum for Collaborative HIV Research, Center for Health Policy Research, George Washington University Medical Center; November 15-16, 1999; Washington, DC."},{"key":"p_12","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(99)90106-X"},{"key":"p_13","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-124-11-199606010-00006"},{"key":"p_14","unstructured":"James JS. Protease inhibitors: drug resistance and cross resistance overview. AIDS Treatment News. November 17, 1995; no. 253. Available at: http:\/\/www.aids.org\/immunet\/atn.nsf\/page\/ a-235-03. Accessed February 22, 2001."},{"key":"p_15","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4757-9209-6_35"},{"key":"p_16","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199901143400226"},{"key":"p_17","unstructured":"Report of the Ethical Issues in Access to HIV Treatment Workgroup. Presented to: The New York State AIDS Advisory Council; November 5, 1997; New York, NY."},{"key":"p_18","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-129-7-199810010-00012"},{"key":"p_19","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1994.00420100105014"},{"key":"p_20","unstructured":"Eldred L. Adherence in the era of protease inhibitors. Johns Hopkins AIDS Service. Available at: http:\/\/www.hopkins-aids.edu\/publications\/ report\/jul97_4.html. Accessed February 23, 2001."},{"key":"p_21","unstructured":"Eldred L. Compliance with therapy. Paper presented at: 4th Conference on Retroviruses and Opportunistic Infections; January 22-26, 1997; Washington, DC."},{"key":"p_22","first-page":"58","volume":"8","author":"Freeman RC","year":"1996","journal-title":"AIDS Educ Prev."},{"key":"p_23","unstructured":"Kloser PC, Carter DT, Powell RP. Compliance in the inner-city substance abusing minority woman. In: Program and Abstracts of the IX International Conference on AIDS; July 19-24, 1992; Amsterdam, the Netherlands. Abstract Po.D. 5733."},{"key":"p_24","first-page":"877","volume":"3","author":"Samuels JE","year":"1990","journal-title":"J Acquir Immune Defic Syndr."},{"key":"p_25","unstructured":"US HIV and AIDS cases reported through June 1999. HIV\/AIDS Surveillance Report. 1999;11, no. 1. Available at: http:\/\/www.cdc.gov\/hiv\/stats\/ hasr1101.htm. 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