Innovative models of care supporting people aging with HIV

Area of Science:

• Geriatric Medicine
• Infectious Diseases
• Public Health

Background:

• The aging population with HIV presents unique healthcare challenges, including accelerated aging and increased comorbidity.
• Chronic inflammation, medication side effects, and care disparities contribute to the health complexities of older adults with HIV.
• Integrating geriatric principles into HIV care is essential for this growing demographic.

Purpose of the Study:

• To review innovative care models and strategies for people aging with HIV.
• To synthesize evidence-based practices and emerging approaches for geriatric HIV care.
• To identify methods for addressing the specific health needs of older adults living with HIV.

Main Methods:

• Systematic review of current literature on integrated HIV and geriatric care.
• Analysis of emerging care models, evidence-informed strategies, and pilot projects.
• Synthesis of findings on patient outcomes, care coordination, and holistic approaches.

Main Results:

• People aging with HIV experience earlier onset of age-related conditions, frailty, and multimorbidity.
• Integrated HIV and geriatric care models show positive results in patient satisfaction and health improvements.
• New demonstration projects are expanding screening, case management, and comprehensive care for older adults with HIV.

Conclusions:

• Evidence-informed strategies, though lacking extensive randomized trials, hold significant potential for improving outcomes in aging populations with HIV.
• Combining geriatric and HIV care, managing multimorbidity, and adopting patient-centered approaches are key to enhancing health and quality of life.
• Innovative strategies are crucial for advancing the care and well-being of the increasing number of older adults living with HIV.