Abstract:
BACKGROUND:The Dominican Republic (DR) has provided free antiretrovirals (ARVs) since 2004. Little is known about adherence to ARV regimens in the DR. METHODS:We audio-recorded 53 HIV care visits at a hospital-based clinic in the DR, conducted post-visit interviews with each patient, and observed clinic policies and practices. RESULTS:Scaled measures showed uniformly positive patient ratings of physician care and strong motivation for ARV adherence. However, it is clinic policy to suspend ARV treatment for patients believed to be non-adherent. This policy limited our study population, preventing us from talking to patients struggling with medication adherence. Clinical interactions featured little or no psychosocial content and patients did not consider physicians responsible for adherence counseling or problem solving. DISCUSSION:Patients excluded from treatment may be those facing the greatest barriers to adherence, such as mental health and substance use disorders, and may be at risk of transmitting the virus.
journal_name
J Health Care Poor Underservedjournal_title
Journal of health care for the poor and underservedauthors
Brooks K,Laws MB,Wilson Idoi
10.1353/hpu.2014.0190subject
Has Abstractpub_date
2014-11-01 00:00:00pages
1748-62issue
4eissn
1049-2089issn
1548-6869pii
S1548686914400226journal_volume
25pub_type
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journal_title:Journal of health care for the poor and underserved
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journal_title:Journal of health care for the poor and underserved
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journal_title:Journal of health care for the poor and underserved
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journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章,评审
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journal_title:Journal of health care for the poor and underserved
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