Articles suggest that nurses specializing in HIV care are an effective approach to a new era of life-long HIV care. Community nurses whose role is to create and conduct CCPs in a small clinic would enable nurses to work directly with patients to increase the effectiveness of the CCP. Something that would likely not be possible in a large commercial clinical setting.
Primary Care Guidance for Persons With Human Immunodeficiency Virus: 2020 Update by the HIV Medicine Association of the Infectious Diseases Society of America
To optimize care engagement, medication adherence, and viral suppression, all people with HIV should be provided timely access to care, and HIV care sites should make the effort to provide care in a way that is linguistically and culturally appropriate. HIV care sites should implement programs that incorporate evidence-based programs to improve HIV care engagement and viral suppression.
New York Department of Health AIDS Institute: Guidance for Addressing the Needs of Older Patients in HIV Care. The goals include: Raising clinicians’ awareness of the needs and concerns of patients with HIV who are 50 or older; Inform clinicians about an aging-related approach to older patients with HIV; Offering recommendations to help clinicians provide optimal care for this population; Provide resources about aging with HIV for healthcare providers and their patients; Suggest steps to guide medical settings in implementing geriatric care into HIV clinical practice.
Research priorities for rehabilitation and aging with HIV: a framework from the Canada-International HIV and Rehabilitation Research Collaborative (CIHRRC)
People with HIV are living longer and can experience physical, mental, and social health challenges associated with aging and multimorbidity. Rehabilitation is well-positioned to address disability and maximize healthy aging. In this article, findings from CIHRRC’s aim to identify emerging research priorities in HIV, aging, and rehabilitation from the perspectives of people living with HIV, clinicians, researchers, representatives from community organizations, and policy stakeholders are reported.
Patient and provider perceptions of a comprehensive care program for HIV-positive adults over 50 years of age: The formation of the Golden Compass HIV and aging care program in San Francisco
People living with HIV (PLWH) are living longer, developing comorbidities and aging-related syndromes. New care models are needed to address the combined burden and complexity of HIV and its comorbidities in this group. The goal of this study is to describe qualitative data from patients and providers that informed the development of a comprehensive care model for older PLWH.
Short-term effectiveness of HIV care coordination among persons with recent HIV diagnosis or history of poor HIV outcomes
Researchers aimed to better understand how Care Coordination Programs (CCP) affect PLWH by having one group that was a part of a CCP and another that wasn’t. After 12-months individuals, viral loads before and after the study were compared. It was found that those in the CCP who had been recently diagnosed benefited the greatest from the program, so it is hypothesized that CCPs help with the initial hurdles of accessing and adhering to ART.
Using registry data to construct a comparison group for programmatic effectiveness evaluation: the New York City HIV care coordination program
To gauge and improve the effectiveness of care coordination programs, researchers looked at CCP evaluations of individuals with HIV. Oftentimes just looking at pre and post-program evaluations do not consider external events in a CCP participant’s life, which has an impact on the effectiveness of the program. Researchers suggest keeping a registry of possible events in the patient’s life. This way, care coordinators can be continuous and mindful of the patient’s circumstances.
Researchers examine the age-related conditions in older persons with HIV and address clinical management according to the author’s expertise and published literature. The researchers aim to advance the debate about the most appropriate management of this population, including less well-studied aspects, such as the frequency of screening for psychological/mental and social and functional capabilities.
Narrowing the Gap in Life Expectancy Between HIV-Infected and HIV-Uninfected Individuals With Access to Care
There is a steep increase in life expectancy for HIV patients who are introduced to ART. HIV-positive individuals also have a higher prevalence than HIV-uninfected individuals of lifestyle risk factors that should be addressed by providers.
The development of frailty is a risk factor for most aging adults however OPWH are at a greater risk of this development. Prevention efforts need to be made to help OPWH successfully age without disability or loss of independence. It also discusses how the needs for OPWH should be evaluated.