Consensus statement on the role of health systems in advancing the long-term well-being of people living with HIV

Abstract Health systems have improved their abilities to identify, diagnose, treat and, increasingly, achieve viral suppression among people living with HIV (PLHIV). Despite these advances, a higher burden of multimorbidity and poorer health-related quality of life are reported by many PLHIV in comp...

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Main Authors: Jeffrey V. Lazarus, Kelly Safreed-Harmon, Adeeba Kamarulzaman, Jane Anderson, Ricardo Baptista Leite, Georg Behrens, Linda-Gail Bekker, Sanjay Bhagani, Darren Brown, Graham Brown, Susan Buchbinder, Carlos Caceres, Pedro E. Cahn, Patrizia Carrieri, Georgina Caswell, Graham S. Cooke, Antonella d’Arminio Monforte, Nikos Dedes, Julia del Amo, Richard Elliott, Wafaa M. El-Sadr, María José Fuster-Ruiz de Apodaca, Giovanni Guaraldi, Tim Hallett, Richard Harding, Margaret Hellard, Shabbar Jaffar, Meaghan Kall, Marina Klein, Sharon R. Lewin, Ken Mayer, Jose A. Pérez-Molina, Doreen Moraa, Denise Naniche, Denis Nash, Teymur Noori, Anton Pozniak, Reena Rajasuriar, Peter Reiss, Nesrine Rizk, Jürgen Rockstroh, Diana Romero, Caroline Sabin, David Serwadda, Laura Waters
Format: Article
Language:English
Published: Nature Publishing Group 2021-07-01
Series:Nature Communications
Online Access:https://doi.org/10.1038/s41467-021-24673-w
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spelling doaj-505abee157914f7897b65db1a53f33a92021-07-18T11:42:56ZengNature Publishing GroupNature Communications2041-17232021-07-0112111410.1038/s41467-021-24673-wConsensus statement on the role of health systems in advancing the long-term well-being of people living with HIVJeffrey V. Lazarus0Kelly Safreed-Harmon1Adeeba Kamarulzaman2Jane Anderson3Ricardo Baptista Leite4Georg Behrens5Linda-Gail Bekker6Sanjay Bhagani7Darren Brown8Graham Brown9Susan Buchbinder10Carlos Caceres11Pedro E. Cahn12Patrizia Carrieri13Georgina Caswell14Graham S. Cooke15Antonella d’Arminio Monforte16Nikos Dedes17Julia del Amo18Richard Elliott19Wafaa M. El-Sadr20María José Fuster-Ruiz de Apodaca21Giovanni Guaraldi22Tim Hallett23Richard Harding24Margaret Hellard25Shabbar Jaffar26Meaghan Kall27Marina Klein28Sharon R. Lewin29Ken Mayer30Jose A. Pérez-Molina31Doreen Moraa32Denise Naniche33Denis Nash34Teymur Noori35Anton Pozniak36Reena Rajasuriar37Peter Reiss38Nesrine Rizk39Jürgen Rockstroh40Diana Romero41Caroline Sabin42David Serwadda43Laura Waters44Barcelona Institute for Global Health (ISGlobal), Hospital Clínic, University of BarcelonaBarcelona Institute for Global Health (ISGlobal), Hospital Clínic, University of BarcelonaUniversity of MalayaHomerton University Hospital NHS Foundation TrustPortuguese National ParliamentMedizinische Hochschule Hannover (MHH)The Desmond Tutu HIV CentreRoyal Free London NHS Trust and University College LondonChelsea and Westminster NHS Foundation TrustCentre for Social Impact, University of New South WalesBridge HIV, San Francisco Department of Public HealthCenter for Research in Sexuality, AIDS and Society, Universidad Peruana Cayetano HerediaFundación HuéspedAix Marseille Univ, Inserm, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l’Information Médicale, ISSPAMGlobal Network of People Living with HIV (GNP+)Imperial College LondonUniversity of MilanPositive VoiceNational Plan on AIDS, Ministry of HealthHIV Legal NetworkICAP at Columbia UniversitySpanish AIDS Interdisciplinary Society (SEISIDA)Modena HIV Metabolic Clinic, Università degli studi di Modena e Reggio EmiliaImperial College LondonKing’s College LondonBurnet InstituteLiverpool School of Tropical MedicinePublic Health EnglandMcGill University Health Centre Research InstituteDepartment of Infectious Diseases, The University of Melbourne at the Peter Doherty Institute for Infection and ImmunityFenway Health and Harvard Medical SchoolInfectious Diseases Department, Hospital Universitario Ramón y CajalESA YOUTH 2030Barcelona Institute for Global Health (ISGlobal), Hospital Clínic, University of BarcelonaCity University of New York Graduate School of Public Health and Health PolicyEuropean Centre for Disease Control and PreventionChelsea and Westminster NHS Foundation TrustUniversity of MalayaAmsterdam University Medical Centers, University of AmsterdamAmerican University of BeirutUniversity Hospital BonnCity University of New York Graduate School of Public Health and Health PolicyUniversity College LondonMakerere University School of Public HealthCentral and North West London NHS TrustAbstract Health systems have improved their abilities to identify, diagnose, treat and, increasingly, achieve viral suppression among people living with HIV (PLHIV). Despite these advances, a higher burden of multimorbidity and poorer health-related quality of life are reported by many PLHIV in comparison to people without HIV. Stigma and discrimination further exacerbate these poor outcomes. A global multidisciplinary group of HIV experts developed a consensus statement identifying key issues that health systems must address in order to move beyond the HIV field’s longtime emphasis on viral suppression to instead deliver integrated, person-centered healthcare for PLHIV throughout their lives.https://doi.org/10.1038/s41467-021-24673-w
collection DOAJ
language English
format Article
sources DOAJ
author Jeffrey V. Lazarus
Kelly Safreed-Harmon
Adeeba Kamarulzaman
Jane Anderson
Ricardo Baptista Leite
Georg Behrens
Linda-Gail Bekker
Sanjay Bhagani
Darren Brown
Graham Brown
Susan Buchbinder
Carlos Caceres
Pedro E. Cahn
Patrizia Carrieri
Georgina Caswell
Graham S. Cooke
Antonella d’Arminio Monforte
Nikos Dedes
Julia del Amo
Richard Elliott
Wafaa M. El-Sadr
María José Fuster-Ruiz de Apodaca
Giovanni Guaraldi
Tim Hallett
Richard Harding
Margaret Hellard
Shabbar Jaffar
Meaghan Kall
Marina Klein
Sharon R. Lewin
Ken Mayer
Jose A. Pérez-Molina
Doreen Moraa
Denise Naniche
Denis Nash
Teymur Noori
Anton Pozniak
Reena Rajasuriar
Peter Reiss
Nesrine Rizk
Jürgen Rockstroh
Diana Romero
Caroline Sabin
David Serwadda
Laura Waters
spellingShingle Jeffrey V. Lazarus
Kelly Safreed-Harmon
Adeeba Kamarulzaman
Jane Anderson
Ricardo Baptista Leite
Georg Behrens
Linda-Gail Bekker
Sanjay Bhagani
Darren Brown
Graham Brown
Susan Buchbinder
Carlos Caceres
Pedro E. Cahn
Patrizia Carrieri
Georgina Caswell
Graham S. Cooke
Antonella d’Arminio Monforte
Nikos Dedes
Julia del Amo
Richard Elliott
Wafaa M. El-Sadr
María José Fuster-Ruiz de Apodaca
Giovanni Guaraldi
Tim Hallett
Richard Harding
Margaret Hellard
Shabbar Jaffar
Meaghan Kall
Marina Klein
Sharon R. Lewin
Ken Mayer
Jose A. Pérez-Molina
Doreen Moraa
Denise Naniche
Denis Nash
Teymur Noori
Anton Pozniak
Reena Rajasuriar
Peter Reiss
Nesrine Rizk
Jürgen Rockstroh
Diana Romero
Caroline Sabin
David Serwadda
Laura Waters
Consensus statement on the role of health systems in advancing the long-term well-being of people living with HIV
Nature Communications
author_facet Jeffrey V. Lazarus
Kelly Safreed-Harmon
Adeeba Kamarulzaman
Jane Anderson
Ricardo Baptista Leite
Georg Behrens
Linda-Gail Bekker
Sanjay Bhagani
Darren Brown
Graham Brown
Susan Buchbinder
Carlos Caceres
Pedro E. Cahn
Patrizia Carrieri
Georgina Caswell
Graham S. Cooke
Antonella d’Arminio Monforte
Nikos Dedes
Julia del Amo
Richard Elliott
Wafaa M. El-Sadr
María José Fuster-Ruiz de Apodaca
Giovanni Guaraldi
Tim Hallett
Richard Harding
Margaret Hellard
Shabbar Jaffar
Meaghan Kall
Marina Klein
Sharon R. Lewin
Ken Mayer
Jose A. Pérez-Molina
Doreen Moraa
Denise Naniche
Denis Nash
Teymur Noori
Anton Pozniak
Reena Rajasuriar
Peter Reiss
Nesrine Rizk
Jürgen Rockstroh
Diana Romero
Caroline Sabin
David Serwadda
Laura Waters
author_sort Jeffrey V. Lazarus
title Consensus statement on the role of health systems in advancing the long-term well-being of people living with HIV
title_short Consensus statement on the role of health systems in advancing the long-term well-being of people living with HIV
title_full Consensus statement on the role of health systems in advancing the long-term well-being of people living with HIV
title_fullStr Consensus statement on the role of health systems in advancing the long-term well-being of people living with HIV
title_full_unstemmed Consensus statement on the role of health systems in advancing the long-term well-being of people living with HIV
title_sort consensus statement on the role of health systems in advancing the long-term well-being of people living with hiv
publisher Nature Publishing Group
series Nature Communications
issn 2041-1723
publishDate 2021-07-01
description Abstract Health systems have improved their abilities to identify, diagnose, treat and, increasingly, achieve viral suppression among people living with HIV (PLHIV). Despite these advances, a higher burden of multimorbidity and poorer health-related quality of life are reported by many PLHIV in comparison to people without HIV. Stigma and discrimination further exacerbate these poor outcomes. A global multidisciplinary group of HIV experts developed a consensus statement identifying key issues that health systems must address in order to move beyond the HIV field’s longtime emphasis on viral suppression to instead deliver integrated, person-centered healthcare for PLHIV throughout their lives.
url https://doi.org/10.1038/s41467-021-24673-w
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