Telemed J E Health - Teleconsultation for clinicians who provide human immunodeficiency virus care: experience of the national HIV telephone consultation service.

Tópicos

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Resumo

JECTIVE: To examine the infrastructure, successes, and challenges of a teleconsultation service for human immunodeficiency virus (HIV) clinicians.MATERIALS AND METHODS: The HIV Warmline is a telephone consultation service providing free, live HIV/AIDS management advice to U.S. clinicians. We present descriptive data about callers, patients, and consultation topics gathered by electronic query of the HIV Warmline database for 2009. Caller satisfaction survey results for 2009 are also presented.RESULTS: The HIV Warmline has provided more than 37,000 consultations since its inception in 1992. The service provides consultations to clinicians from all 50 states, from a variety of professional backgrounds, and with a wide range of HIV experience levels. The majority of call topics concern antiretroviral therapy. Callers are generally pleased with the service, giving a mean Likert scale rating of 4.7 on satisfaction survey questions.CONCLUSION: The experience of the HIV Warmline can serve as a model for other programs planning to develop remote consultation systems. HIV teleconsultation has been relatively simple to implement and can be useful for many types of clinicians. HIV teleconsultation should continue to be evaluated as a way to improve HIV care, especially in areas without easy access to HIV expertise.

Resumo Limpo

jectiv examin infrastructur success challeng teleconsult servic human immunodefici virus hiv cliniciansmateri method hiv warmlin telephon consult servic provid free live hivaid manag advic us clinician present descript data caller patient consult topic gather electron queri hiv warmlin databas caller satisfact survey result also presentedresult hiv warmlin provid consult sinc incept servic provid consult clinician state varieti profession background wide rang hiv experi level major call topic concern antiretrovir therapi caller general pleas servic give mean likert scale rate satisfact survey questionsconclus experi hiv warmlin can serv model program plan develop remot consult system hiv teleconsult relat simpl implement can use mani type clinician hiv teleconsult continu evalu way improv hiv care especi area without easi access hiv expertis

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