The COVID-19 pandemic as a catalyst for differentiated care models to end the HIV epidemic in the United States: applying lessons from high-burden settings.
The COVID-19 pandemic as a catalyst for differentiated care models to end the HIV epidemic in the United States: applying lessons from high-burden settings.
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DOI：
10.1097/qad.0000000000002746
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发表时间：
2021-02-02
期刊：
影响因子：
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通讯作者：
Sarita Shah N
中科院分区：
文献类型：
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作者：
Collins LF;Colasanti JA;Nguyen ML;Moran CA;Lahiri CD;Marconi VC;Armstrong WS;Sarita Shah N
COVID-19疫情暴露了我们医疗体系长期存在的漏洞，并暴露了因公共卫生支持不足而受到最大威胁的个人和社区。在美国，HIV感染者（PWH）代表了一个具有复杂医疗和社会行为需求的异质性人群，目前系统性缺陷的护理模式尚未满足[1，2]。在健康差距的推动下，COVID-19使艾滋病毒流行率最高的社区蓬勃发展[3]，阐明了贫困，政策和结构性种族主义的灾难性协同作用[4]。这一前所未有的时代要求重新审视艾滋病毒护理服务，为重振医疗基础设施铺平道路，以满足PWH和艾滋病毒风险人群的需求，实现终止艾滋病毒流行（EHE）倡议的目标。
The COVID-19 pandemic has exposed longstanding vulnerabilities in our healthcare system, and has laid bare the individuals and communities most threatened by insufficient public health support. In the United States, persons with HIV (PWH) represent a heterogenous population with complex medical and sociobehavioral needs currently unmet by systemically flawed care models [1, 2]. Thriving on health disparity, COVID-19 devastates the same communities where HIV prevalence is highest [3], illuminating the catastrophic synergy of poverty, policies, and structural racism [4]. This unprecedented time demands reexamination of HIV care delivery, paving the way for a revitalized healthcare infrastructure tailored to the needs of PWH and those at-risk of HIV to realize the goals of the ending the HIV epidemic (EHE) initiative [5].