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Patient-centered care for people living with multimorbidity

Boyd, Cynthia M.; Lucas, Gregory M.

Current Opinion in HIV and AIDS: July 2014 - Volume 9 - Issue 4 - p 419–427
doi: 10.1097/COH.0000000000000073
HIV AND AGING: Edited by Amy C. Justice and Julian Falutz

Purpose of review The purpose of this review is to consider a patient-centred approach to the care of people living with HIV (PLWH) who have multimorbidity, irrespective of the specific conditions.

Recent findings Interdisciplinary care to achieve patient-centred care for people with multimorbidity is recognized as important, but the evaluation of models designed to achieve this goal are needed. Key elements of such approaches include patient preferences, interpretation of the evidence, prognosis as a tool to inform patient-centred care, clinical feasibility and optimization of treatment regimens.

Summary Developing and evaluating the best models of patient-centred care for PLWH who also have multimorbidity is essential. This challenge represents an opportunity to leverage the lessons learned from the care of people with multimorbidity in general, and vice versa.

aDivision of Geriatric Medicine and Gerontology

bDivision of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA

Correspondence to Cynthia Boyd, MD, MPH, Center on Aging and Health, Center Tower, 7th Floor, Mason F. Lord Building, 5200 Eastern Avenue, Baltimore, MD 21224, USA. Tel: +1 410 550 8676; e-mail:

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