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1994-10-21
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Document 0620
DOCN M94A0620
TI Fried green pentamidine at the Carlton Clinic Cafe. Nurse practitioners,
HIV infection and private general practice: the way of the future?
DT 9412
AU Mitchell J; Bradford D; Russell D; Murray P; Carlton Clinic, Vic,
Australia.
SO Annu Conf Australas Soc HIV Med. 1993 Oct 28-30;5:74 (poster no. 1).
Unique Identifier : AIDSLINE ASHM5/94349035
AB OBJECTIVES: To investigate the possible role of a nurse counsellor (NC)
in improving cost effective service delivery for HIV-positive patients
in the private general practice setting. METHODS: A NC was employed
under a GP demonstration practice grant by the Commonwealth Department
of Health for 6 months in an established inner city Melbourne general
practice providing treatment for at least 240 HIV-positive patients in
conjunction with 3 full time general practitioners (GPs). RESULTS: The
patient acceptability of the NC took approximately 3 to 4 months. The NC
role evolved into providing counselling for test results (HIV antibody
and other tests), triage, chronic disease counselling and support,
sexual health counselling, treatment procedures (phlebotomy, dressings,
pentamidine, DHPG) both at the clinic and in their homes. The GPs were
more available for the treatment of urgent acute illnesses, and reported
a decrease in interruptions during clinical practice resulting in an
improved degree of satisfaction with the quality of their work. Patient
satisfaction was improved because of increased access to clinical
services, including home visits, with no loss in quality of clinical
services. The position was extended to 12 months, though unsure funding
arrangements added a great deal of stress to the NC position.
CONCLUSION: This project strongly demonstrates the services that nurses
can provide in high HIV-infection caseload practices and points the way
towards the introduction of the nurse practitioner role in the provision
of improved, cost-effective service delivery in private general
practice. This model could also apply to other specific chronic
illnesses such as diabetes and asthma, and funding needs to be increased
to maintain and expand this role.
DE Cost-Benefit Analysis Counseling/*ECONOMICS Family Practice/ECONOMICS
Human HIV Infections/DRUG THERAPY/ECONOMICS/*NURSING Patient Care
Team/ECONOMICS/*TRENDS Pentamidine/*ADMINISTRATION & DOSAGE/ECONOMICS
Victoria MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).