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A qualitative study of twelve focus groups of older adults with HIV was used to study those elements of healthcare that are perceived as being most valued. A majority of the respondents expressed a preference for all care delivery occurring in HIV focused clinics/practices. This preference was highest among those who had the most years living with HIV and comorbidities. Participants placed high value on care-coordination and communication between specialists. They expressed concerns that general medical practitioners and specialists would be skilled enough to manage/understand their HIV, and, sustain patient confidentiality. The participants also voiced their concern that the specialists were not going to understand the emotional and social challenges of living with HIV.