Evaluación de la infección por VIH en Chile: pronunciamiento del Comité VIH de la Academia Chilena de Medicina

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dc.contributor.authorWolff R., Marcelo
dc.contributor.authorPinto C., María Eugenia
dc.contributor.authorSantolaya, María Elena
dc.contributor.authorAguilera, Ximena
dc.contributor.authorChild, Raquel
dc.date.accessioned2022-01-28T16:32:33Z
dc.date.available2022-01-28T16:32:33Z
dc.date.issued2020
dc.description.abstractThe Chilean Academy of Medicine convened a commission to evaluate the status of HIV epidemic and the national response to it, regarding its achievements, gaps and challenges, aiming to recommend actions to optimize assessment quality and national response. This publication summarizes the agreed upon opinion of its members. The epidemic is overwhelmingly sexually transmitted, predominant in homo/bisexual men. Vertical transmission is very low. An increasing number of new diagnoses is occurring, with relative over representation of foreign people lately. There is a legal guarantee of confidentiality, nondiscrimination and treatment for those affected, both in the private and public sector. All public health services have active HIV care units. Modern antiviral drugs and monitoring tests are also available. Despite these clear achievements, insufficient, occasionally inadequate public policies and certain rigid regulations thwart optimal effectivity and efficiency of the programs, contributing to the slow and incomplete compliance with international commitments. Shortcomings worth highlighting are: suboptimal educational and preventive programs directed to youngsters, vulnerable and general population; persistent underdiagnosis of infected population; cumbersome requirements to request and inform diagnostic tests, thus discouraging testing; excessive centralization and long latency of diagnosis confirmation and monitoring tests; incomplete epidemiologic analysis and public reporting of findings; non flexibility and slow updating of therapeutic guidelines; insufficient adaptation of care and drug delivery modalities to patients’ needs; excessive administrative requirements at care centers and restrictive legislation for outcome and interventional clinical research. Recommendations to deal with these issues were proposed.es
dc.description.versionVersión Publicadaes
dc.identifier.citationWolff R., Marcelo, Pinto C., María Eugenia, Santolaya D., María Elena, Aguilera S., Ximena, & Child G., Raquel. (2020). Evaluation of HIV epidemic in Chile. A statement of the Chilean Academy of Medicine. Revista médica de Chile, 148(6), 818-821. https://dx.doi.org/10.4067/S0034-98872020000600818es
dc.identifier.urihttp://dx.doi.org/10.4067/S0034-98872020000600818es
dc.identifier.urihttp://hdl.handle.net/11447/5514
dc.language.isoeses
dc.subjectChilees
dc.subjectEpidemicses
dc.subjectHIV Infectionses
dc.titleEvaluación de la infección por VIH en Chile: pronunciamiento del Comité VIH de la Academia Chilena de Medicinaes
dc.title.alternativeEvaluation of HIV epidemic in Chile. A statement of the Chilean Academy of Medicinees
dc.typeArticlees
dcterms.sourceRevista médica de Chilees

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