Human Immunodeficiency Virus (HIV) Care Models During the Coronavirus Disease 2019 (COVID-19) Era

Human Immunodeficiency Virus (HIV) Care Models During the Coronavirus Disease 2019 (COVID-19) Era
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DOI:
10.1093/cid/ciaa1864
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发表时间:
2021-02-15
影响因子:
11.8
通讯作者:
Lazarus, Jeffrey, V
Lazarus, Jeffrey, V
中科院分区:
医学1区
文献类型:
--
作者:
Guaraldi, Giovanni;Milic, Jovana;Lazarus, Jeffrey, V

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2019 年冠状病毒病 (COVID-19) 大流行是一场前所未有的全球挑战,可能会极大地逆转消灭人类免疫缺陷病毒 (HIV) 的进展。同时,它可能为艾滋病毒管理的新时代提供机会。该观点介绍了 COVID-19 对艾滋病毒护理的影响,包括联合国艾滋病毒/艾滋病联合规划署 (UNAIDS) 的“三个 90 年代”目标。它概述了如何通过整合面对面的患者与医生和远程医疗接触来加强以患者为中心的护理方法,现在被称为“第四个90”。它提出了一个预防和治疗多种疾病和虚弱的框架,以实现良好的健康相关生活质量,并保持所有艾滋病毒感染者的内在能力。
The coronavirus disease 2019 (COVID-19) pandemic is an unprecedented global challenge that substantially risks reversing the progress in ending human immunodeficiency virus (HIV). At the same time, it may offer the opportunity for a new era of HIV management. This viewpoint presents the impact of COVID-19 on HIV care, including the Joint United Nations Programme on HIV/AIDS (UNAIDS) "three 90s" targets. It outlines how to enhance a patient-centered care approach, now known as the "fourth 90," by integrating face-to-face patient-physician and telemedicine encounters. It suggests a framework for prevention and treatment of multimorbidity and frailty, to achieve a good health-related quality of life, and to preserve intrinsic capacity in all people living with HIV.