Strengths and challenges of various models of geriatric consultation for older adults living with HIV

Davis, Amelia J, Greene, Meredith, Siegler, Eugenia, Fitch, Kathleen V, Schmalzle, Sarah A, Krain, Alysa, Vera, Jaime H, Boffito, Marta, Falutz, Julian and Erlandson, Kristine M (2021) Strengths and challenges of various models of geriatric consultation for older adults living with HIV. Clinical Infectious Diseases. ISSN 1058-4838

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Abstract

As care of persons living with 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 nine different clinics across North America and the United Kingdom, provided their insights on models of geriatric consultation for older individuals living with HIV. Three models of geriatric consultation are delineated: outpatient referral/consultation, combined HIV/geriatric multidisciplinary clinic, and dually-trained providers within one clinical setting. A patient-centered approach and the utilization 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.

Item Type: Article
Schools and Departments: Brighton and Sussex Medical School > Global Health and Infection
SWORD Depositor: Mx Elements Account
Depositing User: Mx Elements Account
Date Deposited: 10 Aug 2021 15:43
Last Modified: 07 Aug 2022 01:00
URI: http://sro.sussex.ac.uk/id/eprint/101054

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