BC Centre in HIV/AIDS Primary Care Guidelines

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2.2 ARV Therapy

Optimizing Adherence

  • All HIV-positive individuals should have timely access to routine and urgent care that is linguistically and culturally appropriate to patient needs.

  • An interprofessional team model, with a primary provider for each patient, should be utilized to promote trusting relationships between the patient and their health care team members.

  • Clinicians should involve patients in antiretroviral regimen selection. Clinicians should ensure that patients understand treatment goals and are motivated to initiate and maintain adherence to antiretroviral therapy.

  • Clinicians should educate and support patients to help maintain adherence to antiretroviral therapy by positively reinforcing treatment success.

  • Potential behavioural, structural, and psycho-social barriers to adherence and engagement in care, such as mental illness or substance abuse, should be identified and addressed in collaboration with appropriate providers. These barriers may change with time and should be re-evaluated on an ongoing basis by all health care team members.

  • See also the HIV Therapeutic Guidelines for Adults.

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