Physician Specialization and the Quality of Care for Human Immunodeficiency Virus Infection
Landon BE, Wilson IB, McInnes K, Landrum MB, Hirschhorn LR, Marsden PV, Cleary PD. Physician Specialization and the Quality of Care for Human Immunodeficiency Virus Infection. JAMA Internal Medicine 2005, 165: 1133-1139. PMID: 15911726, DOI: 10.1001/archinte.165.10.1133.Peer-Reviewed Original ResearchMeSH KeywordsAdultAntiretroviral Therapy, Highly ActiveClinical CompetenceEducation, ContinuingFamily PracticeFemaleHealth Knowledge, Attitudes, PracticeHIV InfectionsHumansMalePrimary Health CareQuality Assurance, Health CareReferral and ConsultationRegression AnalysisRetrospective StudiesUnited StatesConceptsHuman immunodeficiency virus (HIV) infectionActive antiretroviral therapyImmunodeficiency virus infectionInfectious disease physiciansAppropriate patientsQuality of careAntiretroviral therapyHIV careDisease physiciansCare measuresVirus infectionComplex chronic medical conditionsGeneral medicine physiciansObservational cohort studyInfectious disease specialistsMedical record reviewChronic medical conditionsComplex chronic illnessExpert generalistsTypes of physiciansHierarchical logistic regression modelsLow-quality careHigh-quality careLogistic regression modelsHIV physiciansA national study of the relationship of care site HIV specialization to early adoption of highly active antiretroviral therapy.
Wilson IB, Landon BE, Ding L, Zaslavsky AM, Shapiro MF, Bozzette SA, Cleary PD. A national study of the relationship of care site HIV specialization to early adoption of highly active antiretroviral therapy. Medical Care 2005, 43: 12-20. PMID: 15626929.Peer-Reviewed Original ResearchConceptsActive antiretroviral therapyHIV careRate of exposureHIV expertiseAntiretroviral therapyInfectious disease specialistsServices Utilization StudyTotal patient volumeSite of careCross-sectional analysisHIV physiciansHAART useHIV CostHIV infectionDisease specialistsPhysician effectOutpatient careLow-volume sitesMultivariable modelAdjusted ratesHAARTPatientsUtilization studiesPatient volumeMedical directors