HIV infection follow-up, organisational and management model

Abstract

Thanks to advances in antiretroviral therapy, the life expectancy of people infected with HIV is approaching that of the general population. In this new clinical scenario, comorbidities related to age and geriatric syn-dromes are gaining prominence. The experiences from various innovative initiatives for the care of patients with chronic diseases indicate that the optimisation of health outcomes not only depends on proper diagnosis and treatment, but also on the way in which care is managed. To cover the future needs of HIV-infected patients, we will have to implement care models that have proven effective in other types of chronic di-seases. This will require a reliable method to stratify patients according to their level of complexity or functional capacity to detect the most vulnerable cases.

Keywords: Ageing; Chronic care model; Chronic disease; Comorbidity; Comorbilidad; Enfermedad crónica; Envejecimiento; HIV infection; Infección por VIH; Modelo de cuidado de crónicos.