| Adherence to antiretroviral therapy in patients participating in a graduated cost recovery program at an HIV care center in South India. | |
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MedLine Citation:
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PMID: 20052529 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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In resource-constrained settings, the most frequently cited barrier to optimal antiretroviral therapy (ART) adherence among HIV-infected patients has been the cost of medications. In recent years many subsidized medication programs have been developed to improve ART affordability. A Graduated Cost Recovery program at the largest care center in South India has enrolled 839 eligible patients into four tiers based on an evaluation of their financial information and willingness to pay, of these patients 635 consented to participate in this study. Patients in Tier 1 receive first-line ART at no cost, whereas patients in Tiers 2, 3, and 4 pay 50, 75, and 100%, respectively of the cost of first-line medications based on an assessment of their means. Adherence rates of 95% or greater on 3-day recall were achieved by 84.6% of Tier 1 (n = 156), 71.6% of Tier 2 (n = 141), 72.3% of Tier 3 (n = 242), and 79.2% of Tier 4 (n = 96). These findings suggest patients are highly motivated and that the provision of no-cost ART can promote higher rates of optimal adherence. |
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Authors:
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Ashita S Batavia; Kavitha Balaji; Elizabeth Houle; Sangeetha Parisaboina; A K Ganesh; Kenneth H Mayer; Suniti Solomon |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: AIDS and behavior Volume: 14 ISSN: 1573-3254 ISO Abbreviation: AIDS Behav Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-07-23 Completed Date: 2010-10-25 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9712133 Medline TA: AIDS Behav Country: United States |
Other Details:
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Languages: eng Pagination: 794-8 Citation Subset: IM |
Affiliation:
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Weill/Cornell Medical College, New York, NY, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Anti-HIV Agents / economics*, therapeutic use CD4 Lymphocyte Count Cost of Illness Costs and Cost Analysis Educational Status Female HIV Infections / drug therapy, economics* Health Care Costs Humans Income India Male Medical Assistance / economics* Medication Adherence / statistics & numerical data* |
| Chemical | |
Reg. No./Substance:
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0/Anti-HIV Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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