Challenges in providing comprehensive and coordinated care to HIV/AIDS patients: a Canadian perspective |
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| Affiliation: | 1. Department of Epidemiology and Biostatistics, University of Maryland School of Public Health, College Park, MD, USA;2. Maryland Institute for Applied Environmental Health, University of Maryland School of Public Health, College Park, MD, USA;3. Channing Division of Network Medicine, Department of Medicine, Brigham and Women''s Hospital and Harvard Medical School, Boston, MA, USA;4. Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA;5. Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA;6. Department of Epidemiology, Brown University School of Public Health, Providence, RI, USA;7. Department of Public Health Sciences, Pennsylvania State University College of Medicine, Hershey, PA, USA |
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| Abstract: | This article focuses our attention on the means by which healthcare is provided to HIV-infected patients who require comprehensive and coordinated care to address the variety of changing and challenging needs presented by the acquired immunodeficiency syndrome (AIDS). Improved clinical management of HIV infection over the past decade, with antiretroviral agents, protease inhibitors and prophylactic therapies against opportunistic infections has transformed HIV infection from an acute to a chronic illness. Many individuals with AIDS are now living longer with more chronic conditions. Concomitant with the transformation of HIV infection from an acute to a chronic illness comes the challenge to provide effective, humane and economical care to patients with chronic conditions that continue to reside in the community, within a healthcare delivery system that has evolved to treat patients with acute diseases. |
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