Providing the Best Infectious Diseases and Primary Care to Our Patients With HIV: Time for Delivery Models to Evolve.

Graber, Christopher J; Landovitz, Raphael J; Branch-Elliman, Westyn · Clin Infect Dis · 2026

expert_opinion · Level V

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Abstract

Advances in antiretroviral therapy have substantially increased life expectancy among people with human immunodeficiency virus in the United States, leading to an older population with a growing burden of chronic noninfectious comorbid conditions. In parallel, the delivery of primary care to an older population is increasingly complex, often taking infectious diseases (ID) specialists outside their areas of expertise. These concurrent trends highlight the importance of integrated care approaches. Comanagement between ID specialists and dedicated primary care providers offers a framework to optimize comprehensive care for this population.