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Titolo:
Rationing HIV medications: What do patients and the public think about allocation policies?
Autore:
Green, MJ; Fong, S; Mauger, DT; Ubel, PA;
Indirizzi:
Penn State Univ, Milton S Hershey Med Ctr, Coll Med, Dept Humanities, Hershey, PA 17033 USA Penn State Univ Hershey PA USA 17033 pt Humanities, Hershey, PA 17033 USA Penn State Univ, Milton S Hershey Med Ctr, Gen Internal Med Sect, Hershey,PA 17033 USA Penn State Univ Hershey PA USA 17033 ernal Med Sect, Hershey,PA 17033 USA Penn State Univ, Coll Med, Dept Hlth Evaluat Sci, Hershey, PA USA Penn State Univ Hershey PA USA d, Dept Hlth Evaluat Sci, Hershey, PA USA Vet Affairs Med Ctr, Philadelphia, PA USA Vet Affairs Med Ctr Philadelphia PA USA rs Med Ctr, Philadelphia, PA USA Univ Penn, Sch Med, Div Gen Internal Med, Philadelphia, PA 19104 USA Univ Penn Philadelphia PA USA 19104 ernal Med, Philadelphia, PA 19104 USA Univ Penn, Sch Med, Ctr Bioeth, Philadelphia, PA 19104 USA Univ Penn Philadelphia PA USA 19104 tr Bioeth, Philadelphia, PA 19104 USA Univ Penn, Leonard Davis Inst Hlth Econ, Philadelphia, PA 19104 USA Univ Penn Philadelphia PA USA 19104 Hlth Econ, Philadelphia, PA 19104 USA
Titolo Testata:
JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES
fascicolo: 1, volume: 26, anno: 2001,
pagine: 56 - 62
SICI:
1525-4135(20010101)26:1<56:RHMWDP>2.0.ZU;2-F
Fonte:
ISI
Lingua:
ENG
Soggetto:
OREGON HEALTH PLAN; IMMUNODEFICIENCY-VIRUS INFECTION; INTENSIVE-CARE UNIT; AIDS; TRANSPLANTATION; PRIORITIES; SERVICES; EPIDEMIOLOGY; CLINICIAN; PROGRESS;
Keywords:
HIV; AIDS; rationing; economics; ethics; health policy;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
49
Recensione:
Indirizzi per estratti:
Indirizzo: Green, MJ Penn State Univ, Milton S Hershey Med Ctr, Coll Med, Dept Humanities, H134,500 Univ Dr, Hershey, PA 17033 USA Penn State Univ H134,500 UnivDr Hershey PA USA 17033 17033 USA
Citazione:
M.J. Green et al., "Rationing HIV medications: What do patients and the public think about allocation policies?", J ACQ IMM D, 26(1), 2001, pp. 56-62

Abstract

Background: New medications for treating HIV/AIDS are effective, but expensive, and funding shortfalls have led many state AIDS Drug Assistance Programs (ADAPs) to ration these drugs. Little is known about the views of thosemost directly affected by rationing policies. This study explores attitudes of patients with HIV and the general public toward specific rationing strategies. Methods: A Likert-style, self-administered questionnaire about rationing expensive HIV medications in the context of a budget shortfall was administered to patients with HIV and shopping mall patrons in central Pennsylvania. Subjects were asked how much they agreed or disagreed with seven drug rationing policies. Results: In all, 100 patients and 101 shoppers completed the sun ey (response rate = 89%). A majority in both groups "strongly" or "somewhat" disagreed with six of the seven rationing policies described, and patients more strongly disagreed with the policies than did the public. The five policies actually used by state ADAPs (first come first serve, limiting expensive medicines, limiting new patient enrollment, giving the expensive medicines to the sickest, using a spending cap) lacked support in either group. Conclusions: HIV drug rationing policies currently in use do not reflect the preferences of patients and the public. Integrating the views of those affected by the rationing decisions would raise difficult challenges to current programs.

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Documento generato il 20/01/20 alle ore 04:53:31