{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T20:24:19Z","timestamp":1769631859981,"version":"3.49.0"},"reference-count":67,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,9,17]],"date-time":"2024-09-17T00:00:00Z","timestamp":1726531200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100015652","name":"Barts Charity","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100015652","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000864","name":"British HIV Association","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000864","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010269","name":"Wellcome Trust","doi-asserted-by":"publisher","award":["227516\/Z\/23\/Z"],"award-info":[{"award-number":["227516\/Z\/23\/Z"]}],"id":[{"id":"10.13039\/100010269","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["HIV Medicine"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The COVID\u201019 pandemic prompted an unprecedented surge in virtual services, necessitating a rapid shift to digital healthcare approaches. This review focuses on evaluating the evidence of virtual care (VC) in delivering HIV care, considering the complex nature of HIV and the need for tailored\u2010approaches, especially for marginalized populations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A mixed\u2010methods systematic review was performed with searches on five databases, covering studies from January 1946 to May 2022. Inclusion criteria involved two\u2010way virtual consultations between healthcare workers and people living with HIV (PLHIV), with detailed descriptions and outcomes. Qualitative and quantitative studies were included, and the risk of bias was assessed using the Newcastle\u2013Ottawa score and Stenfors' framework.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 4143 identified records, 26 studies met the criteria, with various models of care described. The majority of studies were observational, and videoconferencing was the primary mode of virtual consultation employed. Quantitative analysis revealed PLHIV generally accept VC, with high attendance rates (87%). Mean acceptability and satisfaction rates were 80% and 85%, respectively, while 87% achieved HIV viral suppression. The setting and models of VC implementation varied, with some introduced in response to COVID\u201019 while others were as part of trials.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>VC for PLHIV is deemed an acceptable and effective approach and is associated with good virological outcomes. Data on other health outcomes is lacking. The review underscores the importance of diverse models of care, patient choice and comprehensive training initiatives for both staff and patients. Establishing a \u2018gold standard\u2019 for VC models is crucial for ensuring appropriate and effective reviews of PLHIV in virtual settings.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hiv.13701","type":"journal-article","created":{"date-parts":[[2024,9,18]],"date-time":"2024-09-18T02:05:06Z","timestamp":1726625106000},"page":"44-69","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Virtual care pathways for people living with <scp>HIV:<\/scp> A mixed\u2010methods systematic review"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1361-9692","authenticated-orcid":false,"given":"Hamzah Z.","family":"Farooq","sequence":"first","affiliation":[{"name":"SHARE Collaborative Queen Mary University of London  London UK"},{"name":"Blizard Institute Queen Mary University of London  London UK"},{"name":"Department of Infection and Immunity Barts Health NHS Trust  London UK"},{"name":"Department of Infectious Diseases and Tropical Medicine, North Manchester General Hospital Manchester University Foundation Trust  Manchester UK"},{"name":"Department of Virology UK Health Security Agency Manchester  Manchester UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Louise","family":"Whitton","sequence":"additional","affiliation":[{"name":"SHARE Collaborative Queen Mary University of London  London UK"},{"name":"Blizard Institute Queen Mary University of London  London UK"},{"name":"Department of Infection and Immunity Barts Health NHS Trust  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chikondi","family":"Mwendera","sequence":"additional","affiliation":[{"name":"SHARE Collaborative Queen Mary University of London  London UK"},{"name":"Blizard Institute Queen Mary University of London  London UK"},{"name":"Department of Infection and Immunity Barts Health NHS Trust  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9015-3224","authenticated-orcid":false,"given":"Pip","family":"Divall","sequence":"additional","affiliation":[{"name":"University Hospitals of Leicester Library University Hospitals of Leicester NHS Trust  Leicester UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sophie J. 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