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HIV 与衰老:重新考虑合并症管理方法。

HIV and Aging: Reconsidering the Approach to Management of Comorbidities.

机构信息

University of Colorado, Anschutz Medical Campus, 12700 East 19th Avenue, Mail Stop B168, Aurora, CO 80045, USA.

University of California San Diego, 200 West Arbor Drive #8208, San Diego, CA 92103-8208, USA.

出版信息

Infect Dis Clin North Am. 2019 Sep;33(3):769-786. doi: 10.1016/j.idc.2019.04.005.

Abstract

Health care for older adults with human immunodeficiency virus can be highly complex, resource intensive, and carry a high administrative burden. Data from aging longitudinal cohorts and feedback from the human immunodeficiency virus community suggest that the current model is not meeting the needs of these older adults. We introduce the 6 Ms approach, which acknowledges the multicomplexity of older adults with human immunodeficiency virus, simplifies geriatric principles for non-geriatrics-trained providers, and minimizes extensive training and specialized screening tests or tools. Implementing novel approaches to care requires support at local/national levels.

摘要

老年人的艾滋病病毒医疗保健可能非常复杂,需要大量资源,并且行政负担很重。来自老龄化纵向队列的数据和艾滋病病毒界的反馈表明,目前的模式不符合这些老年人的需求。我们引入了 6 Ms 方法,该方法承认艾滋病毒老年患者的多种复杂性,简化了非老年医学专业人员的老年医学原则,并最大限度地减少了广泛的培训和专门的筛查测试或工具。实施新的护理方法需要在地方/国家层面提供支持。

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