Patients' Experiences with Refilling their HIV Medicines: Facilitators and Barriers to On-Time Refills.
Patients' Experiences with Refilling their HIV Medicines: Facilitators and Barriers to On-Time Refills.
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DOI：
10.7812/tpp/19.207
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发表时间：
2020-12-01
影响因子：
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通讯作者：
Dang, Bich N
中科院分区：
文献类型：
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作者：
Johnson, Syundai R;Giordano, Thomas P;Dang, Bich N
背景：坚持抗逆转录病毒治疗（ART）对HIV患者尤为重要。先前关于ART依从性的研究主要集中在针对患者和提供者的行为干预上。没有一项研究将药房续药经验作为改善艾滋病毒药物依从性的潜在目标。告知患者的经验，本研究的目的是评估患者的经验，重新填充他们的艾滋病毒药物，并探讨促进者和障碍，重新填充药物的time.METHODS：我们采访了患者在三个时间点，在他们的第一年的护理在休斯敦，得克萨斯州的艾滋病毒诊所。我们分析了访谈使用定向和传统的内容analysis.RESULTS：分析显示，个人，人际关系和系统层面的障碍，影响患者的能力，拿起他们的艾滋病毒药物的时间。许多患者认为再灌注过程很困难。对于一些患者来说，每月领取艾滋病毒药物会引发焦虑。与药剂师和药房工作人员的积极互动，以及明确和一致的信息，在增强患者的续药体验方面发挥了关键作用。自我效能、社会支持和解决问题的变通办法也是关键的促进因素。许多患者说，从30天到90天的笔芯改变ART配药协议可以减轻与拿起HIV药物和减少机会错过refiller.CONCLUSION经历的焦虑：提供90天的笔芯HIV药物可能会减少有关错过剂量的焦虑，提高服药依从性。为药房工作人员提供沟通技巧培训是另一种可以改善患者续药体验的策略。
BACKGROUND: Adherence to antiretroviral therapy (ART) is particularly important for patients with HIV. Prior research on ART adherence has focused primarily on behavioral interventions targeting patients and providers. No study has focused on the pharmacy refill experience as a potential target for improving adherence to HIV medicines. Informed by patients' experiences, this study aimed to assess patients' experiences with refilling their HIV medicines and to explore facilitators and barriers to refilling medicines on time.METHODS: We interviewed patients at three time points during their first year of care at an HIV clinic in Houston, TX. We analyzed interviews using directed and conventional content analysis.RESULTS: Analyses revealed individual, interpersonal, and system-level barriers that affect patients' ability to pick up their HIV medicines on time. Many patients perceived the refill process as being difficult. For some patients, picking up their HIV medicines each month triggered anxiety. Positive interactions with pharmacists and pharmacy staff, as well as clear and consistent messaging, played a key role in augmenting patients' refill experience. Self-efficacy, social support, and workarounds to resolve issues were also key facilitators. Many patients said changing ART-dispensing protocols from 30- to 90-day refills could mitigate the anxiety experienced with picking up HIV medicines and decrease opportunities for missing a refill.CONCLUSION: Offering 90-day refills for HIV medicines may decrease anxiety concerning missed doses and improve medication adherence. Providing pharmacy staff with communication skills training is another strategy that may improve the patients' refill experience.