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Editor's Correspondence
January 25, 1999

Generalist and Specialty Care

Arch Intern Med. 1999;159(2):196. doi:

Donohoe's review of generalist and specialty care states that "HIV-infected individuals cared for by generalists had . . . significantly shortened survival than those cared for by an AIDS specialist."1 He cites the 1996 study by Kithara et al2 as support for this statement. However, the cited study was not a comparison of specialty and generalist care; rather, it was a comparison of the care provided by generalists with varying degrees of experience in treating patients with AIDS. In fact, the threshold for the "most experienced group" was low; any physician with more than 5 patients with AIDS in his or her practice was placed in this group.