Access to HIV Medication in the Community Versus a Nursing Home for the Medicare Eligible HIV population.
Access to HIV Medication in the Community Versus a Nursing Home for the Medicare Eligible HIV population.
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DOI：
10.32481/djph.2019.05.012
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发表时间：
2019-05-01
期刊：
影响因子：
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通讯作者：
Olivieri-Mui, Brianne L
中科院分区：
文献类型：
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作者：
Olivieri-Mui, Brianne L
获得适当的抗逆转录病毒治疗(ART)是艾滋病毒/艾滋病(PLWH)患者接近正常生活的关键，这导致越来越多的PLWH患者因年龄原因需要疗养院护理。然而，一项研究发现，2011至2013年间，美国疗养院符合联邦医疗保险条件的PLWH中有21%没有通过疗养院药房分发抗逆转录病毒药物。存在费用分担援助方案，以便利低收入社区居住的老年人获得药物，但这些方案不一定延伸到入住养老院的人，这可能会导致PLWH在这种情况下获得抗逆转录病毒治疗的机会中断。可能需要更新政策，以减少PLWH和疗养院与药物有关的经济负担，以便继续在疗养院环境中获得抗逆转录病毒治疗。
Access to appropriate antiretroviral therapy (ART) is key to people living with HIV/AIDS (PLWH) living a near normal life time, which has resulted in increasing numbers of PLWH requiring nursing home care for age-related reasons. However, one study found that 21% of Medicare eligible PLWH in US nursing homes between 2011 and 2013 were not dispensed ART through the nursing home pharmacy. Cost-sharing assistance programs exist to facilitate access to medications for low-income community dwelling older adults, but these programs do not necessarily extend to people admitted to a nursing home, which may cause interruptions in access to ART for PLWH in this setting. Policies may need to be updated to reduce drug-related financial burden to PLWH and nursing homes in order to maintain continued access to ART in the nursing home setting.