Open AccessStrengths and Challenges of Various Models of Geriatric Consultation for Older Adults Living With Human Immunodeficiency Virus
Author(s) -
Amelia J Davis,
Meredith Greene,
Eugenia L. Siegler,
Kathleen V. Fitch,
Sarah Schmalzle,
Alysa Krain,
Jaime H. Vera,
Marta Boffito,
Julian Falutz,
Kristine M. Erlandson
Publication year - 2021
Publication title -
clinical infectious diseases/clinical infectious diseases (online. university of chicago. press)
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1093/cid/ciab682
Subject(s) - medicine , referral , multidisciplinary approach , geriatrics , human immunodeficiency virus (hiv) , gerontology , family medicine , outpatient clinic , geriatric care , nursing , psychiatry , social science , sociology
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.