Teleconsultation for clinicians who provide human immunodeficiency virus care: experience of the national HIV telephone consultation service

• Published in: Telemedicine journal and e-health Vol. 17; no. 6; p. 472
• Main Authors: Waldura, Jessica F, Neff, Sarah, Goldschmidt, Ronald H
• Format: Journal Article
• Language: English
• Published: United States 01.07.2011
• Subjects: Attitude of Health Personnel; Consumer Behavior; Female; Financing, Government; HIV Infections - therapy; Hotlines - standards; Hotlines - statistics & numerical data; Humans; Male; National Health Programs; Patient Satisfaction; Program Evaluation; Quality Assurance, Health Care - methods; Remote Consultation - methods; Remote Consultation - standards; Remote Consultation - statistics & numerical data; United States; United States
• ISSN: 1556-3669
• DOI: 10.1089/tmj.2010.0210

To examine the infrastructure, successes, and challenges of a teleconsultation service for human immunodeficiency virus (HIV) clinicians. 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. 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. 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.