Abstract FINAL Current models of care for the management of HIV patients with comorbidities in England a survey.pdf (182 kB)
Current models of care for the management of HIV patients with comorbidities in England: a survey
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posted on 2023-06-09, 02:43 authored by Elaney Youssef, Juliet Wright, Vanessa Cooper, Eileen Nixon, Jaime Vera RojasJaime Vera RojasIntroduction: The number of people aged ]50 living with HIV in the UK is rapidly increasing. Effective treatment means HIV is usually well controlled; however, there has been an increase in individuals experiencing comorbid conditions associated with ‘‘normal’’ ageing. This aim of this study was to find out what models of care are currently in place for the management of patients with comorbidities. Materials and methods: A link to an online questionnaire was sent via the British HIV Association (BHIVA) Audit Committee to one HIV clinician in each HIV unit in England. Results: Forty-four units responded. Only 11 units (25%) provided specialized clinics for the management of comorbidities. These included: 1) Specialist clinics for the management of a non-infectious comorbidity (any age) e.g. a liver or renal clinic (n10). These clinics utilized in-person appointments (n3), or a combination of virtual and in-person appointments (n7). They were managed by an HIV clinician and non-HIV clinician together (n8), HIV clinician with an interest in the specialist area (n4) or specialist with an interest in HIV (n4). 2) Services for HIV patients with multiple comorbidities (any age) (n2). 3) Dedicated clinics for older people (n5) with eligibility determined by age (]50 years) or the presence of a comorbidity. Additionally, two HIV units employed a GP on site and two had set up a locally enhanced service providing enhanced primary care for HIV-positive patients. Six HIV units ran nurse-led clinics for patients with comorbid conditions. Co-ordination of care for patients with comorbid conditions was conducted by an HIV specialist doctor (n27), the patient’s GP (n18), HIV specialist nurse (n11) or the patient themselves (n9). Eleven clinics reported using case management for patients with multiple comorbid conditions. Self-management support (e.g. nurse-led or as part of an expert patient programme) for patients with comorbid conditions was provided at 18 HIV units. Conclusions: Only a quarter of the clinics surveyed had set up clinics for the management of comorbidities in people living with HIV. While a variety of different approaches were used, services were usually focused on the management of one comorbidity, and few provided services for multiple comorbidities. This is an increasing priority in the context of an ageing population. P162 The
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Publication status
- Published
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- Accepted version
Journal
Journal of the International AIDS SocietyISSN
1758-2652Publisher
Thomson ReutersExternal DOI
Issue
857Volume
19Page range
P161Event name
HIV Drug Therapy conferenceEvent location
GlasgowEvent type
conferenceEvent date
23-26 Oct 2016Department affiliated with
- BSMS Publications
Notes
International Congress of Drug Therapy in HIV Infection 23-26 October 2016, Glasgow, UKFull text available
- Yes
Peer reviewed?
- Yes
Legacy Posted Date
2016-09-02First Open Access (FOA) Date
2016-09-08First Compliant Deposit (FCD) Date
2016-09-02Usage metrics
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