Document 1808 DOCN M94A1808 TI A nurse-based, algorithm-guided system to improve HIV-related outpatient care. DT 9412 AU MacArthur RD; Bowles M; Lipton L; Asbury P; Kosmyna J; Medical College of Ohio, Toledo. SO Int Conf AIDS. 1994 Aug 7-12;10(1):447 (abstract no. PD0395). Unique Identifier : AIDSLINE ICA10/94370767 AB OBJECTIVE: To assess patient and caregiver satisfaction with a nurse-based system of handling common HIV-related outpatient problems. METHOD: A nurse-based, algorithm-guided system was developed and implemented to help a nurse clinician at a tertiary-referral medical center handle HIV-related outpatient problems. Surveys were administered to patients and caregivers before and after implementation of this system to assess satisfaction with the change from primarily physician-based to nurse-based care. RESULTS: Preliminary data show that patients and caregivers are satisfied with the competence and availability of the nurse clinician. In addition, physician time spent handling routine questions and problems appears to have decreased. CONCLUSIONS: HIV-infected patients and their caregivers perceive that nurse clinicians can deliver high quality care in a timely manner. Such care is delivered cost effectively by reducing physician involvement with routine, straightforward outpatient problems. DE Algorithms *Ambulatory Care Human HIV Infections/*NURSING *Nurse Clinicians MEETING ABSTRACT SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).