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As people with HIV infection in developing countries gain access to
antiretroviral drugs and treatments for opportunistic infections, they
should be able to live longer lives. Kitahata and colleagues (p 954)
argue that the chronic care model used in richer countries could
greatly improve the quality of these lives. They warn, however, that
the model cannot be simply superimposed on existing acute, episodic
care: services in the world's poorest regions should be redesigned
from scratch.