| Autor: |
Rachlis B; Division of Clinical Public Health, Dalla Lana School of Public Health, University of Toronto, Toronto, Canada., Nam S; Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Canada., Rosenes R; Canadian HIV/AIDS Legal Network, Toronto, Canada., Santoni T; Canadian Treatment Action Council, Toronto, Canada., Peck R; HIV & AIDS Legal Clinic Ontario (HALCO), Toronto, Canada., Betts A; The AIDS Committee of Durham Region, Oshawa, Canada., Kendall C; Bruyère Research Institute, Ottawa, Canada.; Department of Family Medicine, University of Ottawa, Ottawa, Canada.; Ottawa Hospital Research Institute, Ottawa, Canada.; Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Canada., Yoong D; Department of Pharmacy, St. Michael's Hospital, Toronto, Canada., Sharp A; University Health Network, Toronto, Canada., Gauvin H; Elevate NWO, Thunder Bay, Canada., Goddard L; Toronto People with AIDS Foundation, Toronto, Canada., Owino M; Committee for Accessible AIDS Treatment (CAAT), Toronto, Canada., Rourke SB; Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Canada.; Department of Psychiatry, University of Toronto, Toronto, Canada., Antoniou T; Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Canada.; Department of Family and Community Medicine, University of Toronto, Toronto, Canada.; Department of Family and Community Medicine, St. Michael's Hospital, Toronto, Canada. |
| Abstrakt: |
Antiretroviral medications are expensive, and people living with HIV often experience challenges accessing and paying for medication due to various obstacles. We used concept mapping to explore the challenges people living with HIV in Ontario, Canada, face when accessing medication. In brainstorming, 68 participants generated 447 statements in response to the focus prompt "Some people living with HIV have trouble getting and paying for prescription drugs because … ". These were consolidated into 77 statements, which were sorted ( n = 30) and rated ( n = 32) on importance and commonality. A ten-cluster concept map consisting of individual- and health system-related clusters was generated. Clusters included: (1) Stigma, (2) Medication-Related Issues, (3) Individual Challenges, (4) Basic Needs, (5) Immigration, (6) Coverage, (7) Trillium Drug Program, (8) Access to Services, (9) System-Level Issues and (10) Access to Professional Services. Statements in Coverage and Basic Needs were rated most important and common although there was variability by Ontario residence and drug coverage mechanisms. Strategies to address challenges were generated in Interpretation ( n = 25 participants). Given that continuous access to antiretroviral therapy is necessary to fully realize treatment benefits, policies and interventions that address these challenges are needed. |
