Table 1.
Examples of care models for older people with HIV
| Model | Location | Clinic/name | Venue | Comments |
|---|---|---|---|---|
| Geriatric consultation | Boston (United States) | Massachusetts General Hospital/Aging Positively 12 | Biweekly in ID clinic |
Providers may refer anyone older than 50. NP sees patients; develops plan with rest of team |
| Brighton (England) |
Brighton and Sussex University Hospital Silver Clinic 13 |
Monthly clinic sessions | Referral criteria: age >50, difficulty in coping at home, multimorbidity, polypharmacy; staff include HIV MD, geriatrician, HIV clinical nurse specialist, pharmacist | |
| Denver (United States) | University of Colorado | Outside consultation | Geriatrician, pharmacist see complicated older PLWH 1 to 3 times – refer back to primary care | |
| London (England) | Chelsea and Westminster Hospital 14 | Separate multidisciplinary clinic |
Referral criterion: age ≥ 50. Consultant, HIV NP, trainee; supported by specialist pharmacist and dietician |
|
| Madrid (Spain) | Infanta Leonor University Hospital | In HIV clinic | Referral criteria: age ≥ 50; geriatrician does CGA for all, intervening as needed; yearly follow‐up for stable patients. Biweekly meetings with HIV providers | |
| Montreal (Canada) | McGill University | In HIV Clinic | Geriatrician sees referrals as needed; programme is planning for pharmacist, CGA for age >60 | |
| New York (United States) | Weill Cornell Medicine/New York Presbyterian Hospital 15 | Geriatrician weekly session w/in HIV clinic |
No fixed referral criteria. Geriatrician follows longitudinally. Sponsors: arts, support groups, staff in‐services |
|
| Salem, Virginia (United States) | SAVI | Veterans Affairs Hospital clinic |
Assess multimorbidity, sarcopenia, frailty, cognition; Staff: pharmacist, neuropsychologist, dietician, endocrinologist |
|
| San Francisco (United States) | Ward 86/Golden Compass 16 | Geriatric HIV clinic: pharmacist, screen, geriatric consult |
Opt‐out referrals for age >70, falls; Navigation is primary theme: heart/mind; strength/bones; screening/link to dental, vision, etc.; social work, CBSS, support groups |
|
| Metabolic Clinics | Age‐related assessments are part of the clinical programmes | These have a multimorbidity focus, but have evolved to incorporate evaluation of age‐related concerns like frailty and sarcopenia | ||
| Melbourne (Australia) | Alfred Hospital/Monash University | |||
| Hong Kong SAR (China) | Prince of Whales Hospital, Chinese University of Hong Kong | |||
| Modena (Italy) | University of Modena and Reggio Emilia | |||
| Online supports | Modena (Italy); Barcelona (Spain); Sydney (Australia) 17 | Mysmartage.org | Smartphone app to assess and promote health | |
| Tours (France) | Virtual passport | Online personal suggestions based on French guidelines for care of older PLWH |
Information from programmes that are not referenced was gleaned via personal communications. Readers wishing more information can contact the authors. CBSS, community‐based supports and services; CGA, comprehensive geriatric assessment; ID, infectious disease; NP, nurse practitioner; PLWH, people living with HIV.