{"doi":"10.1371/journal.pone.0303499","title":"Patient and clinician preferences for diabetes management among older adults with co-morbid HIV: A qualitative exploration","abstract":"BACKGROUND: Older adults with HIV are at increased risk of developing certain chronic health conditions including type 2 diabetes mellitus (T2DM). As the number and complexity of conditions increases, so do treatment and health care needs. We explored patient and clinician preferences for HIV+T2DM care and perceived solutions to improving care. METHODS: We conducted an exploratory qualitative study comprised of individual in-depth interviews. Participants included English-speaking patients aged 50 and older living with HIV and T2DM and infectious disease (ID) and primary care (PC) clinicians from a large academic health center in Chicago. Thematic analysis drew from the Framework Method. RESULTS: A total of 19 patient and 10 clinician participants were interviewed. Many patients reported seeking HIV and T2DM care from the same clinician; they valued rapport and a 'one-stop-shop'. Others reported having separate clinicians; they valued perceived expertise and specialty care. Nearly all clinicians reported comfort screening for T2DM and initiating first line oral therapy; ID clinicians reported placing referrals for newer, complex therapies. Patients would like educational support for T2DM management; clinicians would like to learn more about newer therapies and easier referral processes. CONCLUSIONS: Patient-centered care includes managing T2DM from a variety of clinical settings for individuals with HIV, yet strategies are needed to better support clinicians. Future research should examine how best to implement these strategies.","journal":"PLoS ONE","year":2024,"id":497569,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":0,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9445,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2024-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":720614,"name":"Mary Clare Masters","orcid":"0000-0002-8419-6105","position":1,"is_corresponding":false},{"id":110281,"name":"Rachel O’Conor","orcid":"0000-0001-5104-9531","position":2,"is_corresponding":false},{"id":1159363,"name":"Kenya Alcantara","orcid":null,"position":3,"is_corresponding":false},{"id":1136548,"name":"Sophia Svoboda","orcid":"0000-0002-1850-8166","position":4,"is_corresponding":false},{"id":1158873,"name":"Reneaki Smith","orcid":"0009-0003-6191-181X","position":5,"is_corresponding":false},{"id":1102714,"name":"Fangyu Yeh","orcid":null,"position":6,"is_corresponding":false},{"id":110284,"name":"Guisselle Wismer","orcid":"0000-0002-2407-662X","position":7,"is_corresponding":false},{"id":231215,"name":"Amisha Wallia","orcid":"0000-0002-3183-4062","position":8,"is_corresponding":false},{"id":110295,"name":"Stacy Cooper Bailey","orcid":"0000-0002-2566-3789","position":9,"is_corresponding":false},{"id":593583,"name":"Allison Pack","orcid":"0000-0001-5802-293X","position":0,"is_corresponding":true}],"reference_count":35,"raw_metadata":null,"created_at":"2026-07-19T02:09:34.764412Z","pmid":"38743699","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}