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Evaluation & the Health Professions, Vol. 20, No. 2, 164-187 (1997)
DOI: 10.1177/016327879702000204

Primary Care Physicians and Barriers to Providing Care to Persons with HIV/AIDS

Leiyu Shi

Michael E. Samuels

Donna L. Richter

Carleen H. Stoskopf

Samuel L. Baker

Francisco Sy

School of Public Health, University of South Carolina

Primary care physicians play an increasingly important role in the care of persons with HIVIAIDS due to the rising number and changing geographic distribution of persons infected with HIV/AIDS. The study explored the relationship between barriers to health services and the experience and willingness of primary care physicians to care for persons with HIV/AIDS. The study was based on a random survey of primary care physicians in South Carolina. The results indicate that although primary care physicians' willingness to treat persons with HIV/AIDS is significantly associated with many self-reported barriers (i.e., financial, structural, knowledge, and attitudinal), their HIV/AID care experience was most significantly correlated with self-reported knowledge that overrides financial and structural barriers. The results emphasize the importance of programs and policy initiatives aimed at enhancing the primary care physicians' knowledge level and improving their attitudes related to HIV/AIDS.


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