Document 2015
 DOCN  M94A2015
 TI    National HIV telephone consultation service for health care providers.
 DT    9412
 AU    Goldschmidt RH; Balano KB; Legg JJ; Moy A; Rambo M; Liljestrand P; San
       Francisco General Hospital, CA.
 SO    Int Conf AIDS. 1994 Aug 7-12;10(1):40 (abstract no. 133B/D). Unique
       Identifier : AIDSLINE ICA10/94370560
 AB    OBJECTIVE: To support HIV primary care by providing timely telephone
       access to HIV/AIDS clinical consultation and education. METHODS: A
       national toll-free consultation and education service supported by the
       US Department of Health and Human Services and the American Academy of
       Family Physicians answers questions from physicians and other health
       care providers. The multidisciplinary faculty team includes physicians,
       nurses, and pharmacists expert in HIV primary care. RESULTS: The first
       5000 calls (1992-1994) are reviewed. Callers in urban (65%) and rural
       (35%) communities are principally physicians (74% primary care
       physicians), nurse practitioners, and nurses. Callers had a wide range
       of HIV experience: 11% had fewer than 4 HIV patients in their practice;
       5% had more than 50. Most calls (81%) concerned clinical management,
       including counseling and testing (5%), antiretroviral treatment (10%),
       managing opportunistic infections (e.g., MAC 15%; PCP 12%; herpes 8%),
       and evaluation of fever (8%) and other symptoms. Many calls concerned
       developments and changes in drug therapy. Primary care provider calls
       reflect a shift over time to more complex questions, especially about
       advanced AIDS. Usefulness of this service is confirmed by the large
       number of repeat callers (41%) and by follow-up satisfaction/usefulness
       survey data (4.79 on a 1-5 Likert scale). DISCUSSION AND CONCLUSIONS:
       Clinical support by telephone consultation is effective in facilitating
       primary HIV care. Inquiries span the entire range of clinical care. This
       model could be useful in other countries and in settings where
       availability of consultation is variable. The service also helps
       identify primary care providers' educational needs.
 DE    Consumer Satisfaction  Education, Continuing  Health Personnel  Human
       HIV Infections/*THERAPY  *Information Services/UTILIZATION  *Primary
       Health Care  Referral and Consultation  Telephone  United States
       MEETING ABSTRACT

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).