[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-427521-105":59,"doc-detail-427521-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","reframing-aging-and-hiv-integrating-geriatric-care-into-primary-hiv-clinics-close-the-gap-in-access","Reframing Aging and HIV - Integrating Geriatric Care into Primary HIV Clinics - Close the Gap in Access","","The HIVE Clinic implemented a “pop-up” integrated geriatric care model inside primary HIV clinics to address reluctance among people living with HIV (PLWH) to seek geriatric services outside familiar settings. The approach tackled clinic barriers through enhanced communication, improved scheduling, and targeted patient education about aging-related needs. Local partnerships with visiting nurse associations, adult day health programs, and meal services extended ongoing support. Outcomes included improved healthcare proxy documentation, reduced polypharmacy concerns, expanded referrals, and stronger care coordination, closing access gaps to geriatric care.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/reframing-aging-and-hiv-integrating-geriatric-care-into-primary-hiv-clinics-close-the-gap-in-access/427521/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/reframing-aging-and-hiv-integrating-geriatric-care-into-primary-hiv-clinics-close-the-gap-in-access/427521.png","ImageObject",300,407,{"name":92,"@type":93},"River Wang","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-19","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":24},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What problem did the HIVE Clinic address for people living with HIV (PLWH)?","Question",{"text":112,"@type":113},"Patients were reluctant to leave their primary care settings for geriatric services, often due to viewing such care as unnecessary or fearing loss of trusted providers.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How did the integrated HIVE model improve access to geriatric care?",{"text":117,"@type":113},"It brought specialized geriatric expertise directly into primary HIV clinics and supported referrals with enhanced communication, improved scheduling, and targeted patient education.",{"name":119,"@type":110,"acceptedAnswer":120},"What results were reported after implementing the model?",{"text":121,"@type":113},"The clinic reported improved healthcare proxy documentation, addressing polypharmacy concerns, expanded referrals, and strengthened care coordination.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},427521,1790765291,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":24,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":81},1099514067438,"https://ap-avatar.wpscdn.com/avatar/100002539ee87300030?x-image-process=image/resize,m_fixed,w_180,h_180&k=1780474512215547542","790 Innovation in Aging, 2025, Vol. 9, No. S2  \nreluctance, perceiving such care as unnecessary and associating it with an outdated notion of aging, underscoring the need for targeted education on the benefits of specialized geriatric services In this paper presentation session, we describe the implementation of the HIVE Clinic and the strategies used to address barriers experienced by PLWH in accessing geriatric care. These strategies include enhanced communication, improved scheduling, and targeted patient education on aging-related needs to keep them safe and independent at home. Additionally, partnerships with local aging services, including visiting nurse associations (VNA), adult day health programs, and meal services, provided further support to patients. Results demonstrated improved healthcare proxy documentation, addressing polypharmacy concerns, expanded referrals, and strengthened care coordination. The HIVE Clinic’s innovative model successfully improved access to geriatric care, emphasizing the value of familiar care settings and targeted patient education to address gaps in HIV-aging care.  \nAbstract citation ID: igaf122.2681  \nREFRAMING AGING AND HIV: INTEGRATING  \nGERIATRIC CARE INTO PRIMARY HIV CLINICS TO  \nCLOSE THE GAP IN ACCESS  \nAthina Schmidt1, Jennifer Sergile1, Irina Vovnoboy2, and Archana Asundi2, 1. Boston Medical Center, Boston, Massachusetts, United States, 2. Boston UniversityChobanian & Avedisian School of Medicine, Boston, Massachusetts, United States  \nThe BMC HIV-Endurance (HIVE) Clinic implemented a“pop-up”geriatric care model to address the reluctance of people living with HIV (PLWH) to leave their primary care settings for geriatric services. Patients reported concerns about losing trusted providers. While systemic challenges at our clinic required an increase to the geriatric referral age to 70. The integrated HIVE model introduced specialized geriatric expertise directly into primary care settings to improve access and improve healthcare outcomes. Despite proactive referrals that originated from the patient’s primary care provider with specific concerns to address, some patients still required guidance to grasp the rationale behind their referral to a geriatric specialist. Many expressed","cbCaisbNQGUFFtO7","https://ap.wps.com/l/cbCaisbNQGUFFtO7","pdf",712598,"English","# Background and Rationale\n## Patient reluctance and access barriers\n# Model Design: HIVE “Pop-up” Geriatric Care\n## Integration into primary care settings\n## Communication, scheduling, and education strategies\n# Partnerships and Support Services\n## Visiting nurse associations, adult day health, meal services\n# Outcomes and Impact\n## Healthcare proxy documentation, polypharmacy, referrals, and coordination","[{\"question\":\"What problem did the HIVE Clinic address for people living with HIV (PLWH)?\",\"answer\":\"Patients were reluctant to leave their primary care settings for geriatric services, often due to viewing such care as unnecessary or fearing loss of trusted providers.\"},{\"question\":\"How did the integrated HIVE model improve access to geriatric care?\",\"answer\":\"It brought specialized geriatric expertise directly into primary HIV clinics and supported referrals with enhanced communication, improved scheduling, and targeted patient education.\"},{\"question\":\"What results were reported after implementing the model?\",\"answer\":\"The clinic reported improved healthcare proxy documentation, addressing polypharmacy concerns, expanded referrals, and strengthened care coordination.\"}]","Reframing Aging and HIV - Integrating Geriatric Care into Primary HIV Clinics - Close the Gap in Access | PDF",1790644087]