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6 Approaches to Improving Long-Term HIV Treatment Adherence

December 3, 2013


Health Care-Based Strategies

Health Care-Based Strategies

Health delivery systems may affect adherence. "The 'net' around the patient has to be wide with different specialties," says Ammassari. A better provider experience, various optimized multidisciplinary care teams and the use of electronic health records were all associated with improved adherence.

Moreover, how and where a patient's antiretrovirals are dispensed also matters. When comparing HIV-focused pharmacies (HIV-P) to traditional pharmacies (TP), although HIV-P users traveled father (5.03 miles vs. 1.26 miles, P < .01), they had a higher median medication possession ratio (90% vs. 77%, P < .0001), an indicator of ART regimen refill adherence, according to study results by Jennifer Cocohoba, M.D., and colleagues.

After adjusting for age, gender, insurance, medication use and distance from pharmacy, use of HIV-P and the receipt of fixed-dose combination antiretroviral tablets were the two factors most strongly associated with having 95% or greater ART regimen refill adherence.

This article was provided by It is a part of the publication The 14th European AIDS Conference (EACS 2013).


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