Patricia A. Murphy|Jennifer Cocohoba|Andrew W Tang|Glen Pietrandoni|John Hou|B. Joseph Guglielmo
Impact of HIV-Specialized Pharmacies on Adherence and Persistence with Antiretroviral Therapy
Walgreens (United States)|Deerfield (United States)|University of California, San Francisco|Walgreens (United States)|Deerfield (United States)|Walgreens (United States)|Deerfield (United States)|Walgreens (United States)|Deerfield (United States)|University of California, San Francisco
patient adherence degree patients follow therapeutic regimen prescribed within set period time persistence time treatment discontinuation permissible gap drug therapy essential components hivaids treatment select community pharmacies offer specialized services hivaids patients help combat barriers adherence persistence assessed adherence persistence antiretroviral therapy art patients using hivspecialized pharmacies nine cities seven states compared traditional community pharmacy users 1year period data limited one pharmacy chain propensity scoring used obtain 11 matches specialized traditional pharmacy users based age gender number prescriptioninferred chronic conditions obtained mapping patients prescriptions medispan drug indications database presence prescription anxiety andor depression medication resulting 7064 patients group proportion days covered pdc used measure adherence specialized pharmacy users significantly greater mean 741 versus 692 p00001 median 903 versus 863 p00001 pdc greater percentage patients specialized group able obtain pdc 95 better 393 versus 355 patients specialized group significantly persistent p00117 community pharmacies specialized hiv services may effective avenues helping patients achieve greater adherence persistence art given value specialized community pharmacies payers consider implementing policies encourage use pharmacies filling art