Strategies to Improve Access to and Utilization of Health Care Services and Adherence to Antiretroviral Therapy Among HIV-Infected Drug Users

被引：28

作者：

Cunningham, Chinazo O. ^{[1
]}

Sohler, Nancy L. ^{[1
,2
]}

Cooperman, Nina A. ^{[3
]}

Berg, Karina M. ^{[1
]}

Litwin, Alain H. ^{[1
]}

Arnsten, Julia H. ^{[1
]}

机构：

[1] Albert Einstein Coll Med, Montefiore Med Ctr, Bronx, NY 10467 USA

[2] CUNY, Sophie Davis Sch Biomed Educ, New York, NY 10021 USA

[3] Univ Med & Dent New Jersey, Robert Wood Johnson Med Sch, Piscataway, NJ 08854 USA

来源：

SUBSTANCE USE & MISUSE | 2011年 / 46卷 / 2-3期

基金：

美国国家卫生研究院;

关键词：

drug treatment; HIV; access to care; health care utilization; adherence to antiretroviral therapy; integrated treatment; outreach; case management; directly observed therapy; peer support; patient navigation; adherence counselors; RANDOMIZED CONTROLLED-TRIAL; MEDICAL OUTREACH PROGRAM; BEHAVIORAL SKILLS MODEL; NEW-YORK-CITY; CASE-MANAGEMENT; SUBSTANCE USE; WITHDRAWAL SYMPTOMS; ANCILLARY SERVICES; TREATMENT OUTCOMES; OPIATE WITHDRAWAL;

D O I：

10.3109/10826084.2011.522840

中图分类号：

R194 [卫生标准、卫生检查、医药管理];

学科分类号：

100404 [儿少卫生与妇幼保健学];

摘要：

We review five innovative strategies to improve access, utilization, and adherence for HIV-infected drug users and suggest areas that need further attention. In addition, we highlight two innovative programs. The first increases access and utilization through integrated HIV and opioid addiction treatment with buprenorphine in a community health center, and the second incorporates adherence counseling for antiretroviral therapy in methadone programs. Preliminary evaluations demonstrated that these strategies may improve both HIV and opioid addiction outcomes and may be appropriate for wider dissemination. Further refinement and expansion of strategies to improve outcomes of HIV-infected drug users is warranted.

引用

页码：218 / 232

页数：15

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