Olivieri-Mui Brianne L
Bouve College of Health Sciences, Department of Health Sciences, Northeastern University.
Dela J Public Health. 2019 May 28;5(2):74-79. doi: 10.32481/djph.2019.05.012. eCollection 2019 May.
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.
获得适当的抗逆转录病毒疗法（ART）是艾滋病毒/艾滋病感染者（PLWH）过上接近正常寿命的关键，这导致越来越多的PLWH因年龄相关原因需要疗养院护理。然而，一项研究发现，2011年至2013年期间，美国疗养院中符合医疗保险资格的PLWH中有21%没有通过疗养院药房获得抗逆转录病毒疗法。成本分摊援助计划的存在是为了方便低收入社区居住的老年人获得药物，但这些计划不一定适用于入住疗养院的人，这可能会导致这种情况下的PLWH获得抗逆转录病毒疗法的机会中断。可能需要更新政策，以减轻PLWH和疗养院的药物相关财务负担，以便在疗养院环境中维持持续获得抗逆转录病毒疗法的机会。
