the impact of the national hiv health care worker hotline on patient care in south africa国家艾滋病医疗保健的影响在南非工人热线在病人护理.pdf
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Chisholm et al. AIDS Research and Therapy 2011, 8:4
/content/8/1/4
RESEARCH Open Access
The impact of the National HIV Health Care
Worker Hotline on patient care in South Africa
1* 2 2 3 4
Briony S Chisholm , Karen Cohen , Marc Blockman , Hans-Friedemann Kinkel , Tamara J Kredo ,
Annoesjka M Swart1
Abstract
Background: South Africa has a huge burden of illness due to HIV infection. Many health care workers managing
HIV infected patients, particularly those in rural areas and primary care health facilities, have minimal access to
information resources and to advice and support from experienced clinicians. The Medicines Information Centre,
based in the Division of Clinical Pharmacology at the University of Cape Town, has been running the National HIV
Health Care Worker (HCW) Hotline since 2008, providing free information for HIV treatment-related queries via
telephone, fax and e-mail.
Results: A questionnaire-based study showed that 224 (44%) of the 511 calls that were received by the hotline
during the 2-month study period were patient-specific. Ninety-four completed questionnaires were included in the
analysis. Of these, 72 (77%) were from doctors, 13 (14%) from pharmacists and 9 (10%) from nurses. 96% of the
callers surveyed took an action based on the advice received from the National HIV HCW Hotline. The majority of
actions concerned the start, dose adaption, change, or discontinuation of medicines. Less frequent actions taken
were adherence and lifestyle counselling, further investigations, referring or admission of patients.
Conclusions: The information provided by the National HIV HCW Hotline on patient-specific requests has a direct
impact on the management of patients.
Background
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