title: Is the cost of home care greater than the cost of nonadherence? Catrina's journey through the maze of HIV medications and managed care.
abstract: This article describes the case study of Catrina, a 37-year-old African-American woman with AIDS. Because of managed care visit limitations, Catrina had four admissions to and three discharges from home care services surrounding three different regimens of highly active antiretroviral therapy. By highlighting the toll that the maze of managed care has had on her life, the authors raise issues regarding the inadequacy of home care reimbursement. The Motown and other musical headings in this article are dedicated to Catrina.
authors.affiliation: Massachusetts General Hospital/Spaulding Home Care Agency, Boston, Massachusetts, USA.
authors.forename: J F
authors.initials: JF
authors.lastname: Cameron
authors.forename: C A
authors.initials: CA
authors.lastname: Patsdaughter
authors.forename: C A
authors.initials: CA
authors.lastname: O'Connor
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000188:drug therapy / Q000191:economics* / Q000523:psychology; D000328:Adult; D023241:Antiretroviral Therapy, Highly Active; D005260:Female; D006699:Home Care Services / Q000191:economics*; D006801:Humans; D008329:Managed Care Programs / Q000191:economics*; D017211:Treatment Failure