       Document 1808
 DOCN  M94A1808
 TI    A nurse-based, algorithm-guided system to improve HIV-related outpatient
       care.
 DT    9412
 AU    MacArthur RD; Bowles M; Lipton L; Asbury P; Kosmyna J; Medical College
       of Ohio, Toledo.
 SO    Int Conf AIDS. 1994 Aug 7-12;10(1):447 (abstract no. PD0395). Unique
       Identifier : AIDSLINE ICA10/94370767
 AB    OBJECTIVE: To assess patient and caregiver satisfaction with a
       nurse-based system of handling common HIV-related outpatient problems.
       METHOD: A nurse-based, algorithm-guided system was developed and
       implemented to help a nurse clinician at a tertiary-referral medical
       center handle HIV-related outpatient problems. Surveys were administered
       to patients and caregivers before and after implementation of this
       system to assess satisfaction with the change from primarily
       physician-based to nurse-based care. RESULTS: Preliminary data show that
       patients and caregivers are satisfied with the competence and
       availability of the nurse clinician. In addition, physician time spent
       handling routine questions and problems appears to have decreased.
       CONCLUSIONS: HIV-infected patients and their caregivers perceive that
       nurse clinicians can deliver high quality care in a timely manner. Such
       care is delivered cost effectively by reducing physician involvement
       with routine, straightforward outpatient problems.
 DE    Algorithms  *Ambulatory Care  Human  HIV Infections/*NURSING  *Nurse
       Clinicians  MEETING ABSTRACT

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

