J Korean Med Assoc.  2024 Mar;67(3):186-193. 10.5124/jkma.2024.67.3.186.

Healthcare policy to support people living with HIV infection and AIDS patients

• Choi JP

• KMID: 2553286
• DOI: http://doi.org/10.5124/jkma.2024.67.3.186

Abstract

Background
Individuals living with human immunodeficiency virus (HIV) encounter challenges throughout the care continuum, right from the time of diagnosis to the culmination of the treatment process.
Current Concepts
The Republic of Korea, like many other countries, has been addressing the needs of people living with HIV (PLWH) by providing financial support for medical expenditures. Currently, HIV counseling specialist nurses offer psychological support at 28 institutions, assisting patients in maintaining viral suppression state and adhering to antiretroviral therapy. Care and welfare services are also provided by non-governmental organizations funded by the Korean Disease Control and Prevention Agency (KDCA). The accessibility of medical institutions for PLWH has seen gradual improvement, with KDCA issuing guidelines for healthcare facilities catering to this population. In addition, the legal and medical insurance coverage issues related to long-term care institutionalization have been addressed. However, PLWH continues to face challenges in treatment and hospitalization, especially with a recent increase in immigrant PLWH, highlighting a lack of support for undocumented immigrants seeking treatment.
Discussion and Conclusion
Healthcare policies are shifting from merely managing, isolating, and treating PLWH to prioritizing their human rights. Going forward, it is imperative to empower PLWH and support their self-care efforts.

Keyword

HIV; Acquired immunodeficiency syndrome; Healthcare policy; 사람면역결핍바이러스; 후천면역결핍증후군; 보건의료정책