Standard of care: promoting antiretroviral adherence in clinical care

Although there has long been demand for programs and procedures that support or enhance adherence to antiretroviral therapy (ART) among HIV+ patients, there is scant evidence about the extent to which medical clinics have been able to incorporate adherence interventions into their standard care. A s...

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Bibliographic Details
Published in:AIDS care 2005-02, Vol.17 (2), p.237-251
Main Authors: Harman, Jennifer J., Amico, K. Rivet, Johnson, Blair T.
Format: Article
Language:English
Subjects:
Adherence
AIDS
AIDS/HIV
Anti-HIV Agents - therapeutic use
Antiretroviral drugs
Antiretroviral therapy
Biological and medical sciences
Clinics
Connecticut
Delivery of Health Care - standards
Drug therapy
General populations
Health
Health care
Health Services Needs and Demand
HIV
HIV Infections - drug therapy
Human immunodeficiency virus
Human viral diseases
Humans
Infectious diseases
Interventions
Medical sciences
Medical treatment
New York
Patient Compliance
Patients
Prevention and actions
Public health. Hygiene
Public health. Hygiene-occupational medicine
USA
Viral diseases
Viral diseases of the lymphoid tissue and the blood. Aids
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Summary:Although there has long been demand for programs and procedures that support or enhance adherence to antiretroviral therapy (ART) among HIV+ patients, there is scant evidence about the extent to which medical clinics have been able to incorporate adherence interventions into their standard care. A survey of clinical care settings in New York and Connecticut indicated that the current standard of care is to provide only minimal levels of adherence services, with ad hoc adherence support being offered on an as-needed basis, often by overburdened primary care staff. These results suggest a strong need for the development of ART adherence interventions that are not only easily translatable to real-life clinical settings, but also offer an organized compendium of resources for HIV+ patients, from initiation to maintenance.
ISSN:0954-0121
1360-0451
DOI:10.1080/09540120512331325707