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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).