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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 Rojas
Introduction: 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

History

Publication status

  • Published

File Version

  • Accepted version

Journal

Journal of the International AIDS Society

ISSN

1758-2652

Publisher

Thomson Reuters

Issue

857

Volume

19

Page range

P161

Event name

HIV Drug Therapy conference

Event location

Glasgow

Event type

conference

Event date

23-26 Oct 2016

Department affiliated with

  • BSMS Publications

Notes

International Congress of Drug Therapy in HIV Infection 23-26 October 2016, Glasgow, UK

Full text available

  • Yes

Peer reviewed?

  • Yes

Legacy Posted Date

2016-09-02

First Open Access (FOA) Date

2016-09-08

First Compliant Deposit (FCD) Date

2016-09-02

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