Strengths and Challenges of Various Models of Geriatric Consultation for Older Adults Living With Human Immunodeficiency Virus. (6th August 2021)

• Record Type: Journal Article
• Authors: Davis, Amelia J; Greene, Meredith; Siegler, Eugenia; Fitch, Kathleen V; Schmalzle, Sarah A; Krain, Alysa; Vera, Jaime H; Boffito, Marta; Falutz, Julian; Erlandson, Kristine M
• Is Part Of: Clinical infectious diseases. Volume 74:Number 6(2022)
• Page Start: 1101
• Page End: 1106
• Publication Date: 2021-08-06
• Subjects: HIV and aging care -- geriatric consultation model -- HIV care continuum -- geriatric care -- older adults with HIV; Communicable diseases -- Periodicals; 616.905
• DOI: 10.1093/cid/ciab682
• Languages: English
• ISSNs: 1058-4838

Abstract

Abstract: As care of persons living with human immunodeficiency virus (HIV; PWH) has transitioned from management of opportunistic infections to management of conditions associated with older age, new models of geriatric consultation are needed. The authors, who represent 9 clinics across North America and the United Kingdom, provided their insights on models of geriatric consultation for older PWH. Three models of geriatric consultation are delineated: outpatient referral/consultation, combined HIV/geriatric multidisciplinary clinic, and dually trained providers within 1 clinical setting. A patient-centered approach and the use of expertise across disciplines were universally identified as strengths. Logistical barriers and the reluctance of older PWH to see a geriatric care provider were identified as barriers to implementing these models. Although the optimal model of geriatric consultation depends on a region's resources, there is value in augmenting the training of infectious disease providers to include principles of geriatric care. Abstract : For persons with human immunodeficiency virus (HIV) age 50 and over, there is an increasing need to address concerns associated with aging. Three models of geriatric consultation are described: outpatient referral/consultation, combined HIV/geriatric multidisciplinary clinic, and dually trained providers.