Innovative models of care supporting people aging with HIV.

Abstract

Purpose of review: As the population of people living with HIV ages, the integration of geriatric principles into HIV care is increasingly important. This review synthesizes innovative care models, evidence-informed strategies, and emerging practices designed to address the unique needs of people aging with HIV.

Recent findings: People aging with HIV face an accelerated onset of age-related conditions, frailty, and multimorbidity due to a combination of factors, including chronic systemic inflammation, medication toxicities, and disparities in care. Emerging models of care integrate HIV and geriatric services, demonstrating promising outcomes in patient satisfaction, health improvements, and care team collaboration. Additionally, recently funded demonstration projects expand screening, case management, and holistic care delivery for older adults with HIV in new ways.

Summary: Although randomized controlled trials are limited, evidence-informed and emerging strategies show potential to improve outcomes for people aging with HIV. By combining geriatric and HIV care, addressing multimorbidity, incorporating additional specialties and care providers, and prioritizing patient-centered approaches, these innovative strategies lay the foundation for advancing health and enhancing the quality of life for this growing population.