School of Medicine, University of Colorado, Aurora, CO, USA.
Department of Medicine, Division of Geriatrics, University of California, San Francisco, CA, USA.
AIDS Care. 2023 Apr;35(4):581-590. doi: 10.1080/09540121.2022.2162840. Epub 2023 Feb 3.
With early and effective antiretroviral therapy leading to improved life expectancy in people with HIV (PWH), PWH aged 50 or older face concerns and issues related to aging. Providers at the University of Colorado identified a need to assess the healthcare needs of PWH aged 50 and older at the UCHealth Infectious Diseases/Travel (TEAM) Clinic in Aurora, Colorado. A survey was developed to illuminate participants' general rating of their health, factors that made it challenging to get the healthcare needed prior to COVID-19 and during COVID-19, and types of healthcare appointments and providers that would make a difference in healthcare experience. Descriptive statistics and brief thematic analysis of open-ended questions found that most participants rated their current health as very good or good. Participants noted that connecting to resources and appointment scheduling were the top challenges prior to the COVID-19 pandemic, and during the COVID-19 pandemic, participants described challenges with resource connection, communication with providers, and wait times. To reduce these barriers, telehealth video appointments, healthcare visits with a provider who specializes in aging, and healthcare visits with providers who specialize in aging if co-located in the HIV clinic were recognized as beneficial resources from the perspectives of participants.
随着早期和有效的抗逆转录病毒疗法提高了艾滋病毒感染者（PWH）的预期寿命，年龄在 50 岁或以上的 PWH 面临着与衰老相关的问题和担忧。科罗拉多大学的医疗服务提供者发现，他们需要评估科罗拉多州奥罗拉市 UCHealth 传染病/旅行（TEAM）诊所年龄在 50 岁及以上的 PWH 的医疗需求。他们开发了一项调查，以了解参与者对自身健康的总体评价、在新冠疫情之前和期间获得所需医疗服务的困难因素，以及对改善医疗体验有帮助的医疗预约和医疗服务提供者的类型。描述性统计和对开放式问题的简要主题分析发现，大多数参与者对自己目前的健康状况评价非常好或好。参与者指出，在新冠疫情之前，与资源的联系和预约安排是最大的挑战，而在新冠疫情期间，参与者描述了在资源联系、与提供者的沟通以及等待时间方面的挑战。为了减少这些障碍，参与者认为远程医疗视频预约、与专门从事老年病学的提供者进行医疗访问以及如果在 HIV 诊所内专门从事老年病学的提供者进行医疗访问是有益的资源。
