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. 2021 Sep 7;73(5):e1222-e1227.
doi: 10.1093/cid/ciaa1864.

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

Giovanni Guaraldi  1 , Jovana Milic  1   2 , Esteban Martinez  3 , Adeeba Kamarulzaman  4 , Cristina Mussini  1 , Laura Waters  5 , Anton Pozniak  6 , Patrick Mallon  7 , Jürgen K Rockstroh  8 , Jeffrey V Lazarus  9
Affiliations

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

Giovanni Guaraldi et al. Clin Infect Dis. .

Abstract

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.

Keywords: AIDS care; COVID-19; HIV; quality of life.

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