To describe a referral-based model connecting high-risk older adults with HIV to geriatric care and identify specific barriers to its implementation, such as provider consensus and resource availability.
Key Findings:
11 patients underwent geriatric consultation, average age 69 years (SD = 7.4).
Geriatricians made recommendations for referrals to other services (n=9, 82%), medication changes (n=8, 73%), osteoporosis screening (n=6, 55%), and memory management (n=5, 45%).
Advanced directives were discussed in all consultations.
Almost all HIV providers (95%) expressed willingness to refer future patients.
Interpretation:
The geriatric consultation program improved access to specialized care for older adults with HIV but faced limited uptake due to barriers such as provider and patient consensus on the utility of geriatric care and resource limitations.
Limitations:
Lack of consensus among providers and patients on the utility of geriatric care.
Absence of a co-located clinical model.
Challenges in managing polypharmacy.
Shortage of geriatricians.
Financial constraints.
Conclusion:
While the program shows promise in improving access to geriatric care for older adults with HIV, addressing identified barriers is crucial for enhancing participation and ensuring effective care delivery.
