WEPE701 - Poster Exhibition
Telephone consultation to support HIV prevention and care: the Health Resources and Services Administration (HRSA) funded AETC Warmline, PEPline and Perinatal HIV Hotline model
R. Goldschmidt1, S. Neff1, D. Travieso-Palow2
1University of California - San Francisco, Family and Community Medicine, San Francisco, United States, 2HRSA, HIV/AIDS Bureau, Rockville, United States
Background: A wide range of clinicians provide frontline care to increasing numbers of patients living with HIV/AIDS. Non-expert clinicians need access to up-to-date clinical advice on HIV management so they can offer the best possible prevention and care. A proven, reliable method of supporting clinicians is to provide free, timely and readily accessible telephone-based expert clinical consultation.
Methods: The UCSF AIDS Education and Training Center National HIV/AIDS Clinicians' Consultation Center (NCCC), funded by Health Resources and Services Administration (HRSA) and Centers for Disease Control and Prevention (CDC), is the national consultation service for clinicians caring for HIV/AIDS across the United States through the National HIV Telephone Consultation Service (Warmline), National Perinatal HIV Hotline, and National Clinicians' Post-Exposure Prophylaxis Hotline (PEPline). To date, more than 160,000 free consultations have been received, with 14,377 calls in 2011.
Results: In a one-year period during 2010-2011, NCCC received 14,377 calls, 6,389 (44%) from physicians and 7,988 (56%) from non-physicians. Approximately 20% of calls were from rural areas. Of the non-physician clinicians in professions common to resource-poor countries, Warmline calls mainly concerned antiretroviral therapy (62%), clinical problems including co-infection (27%), and testing/prevention (11%); PEPline calls (88%) concerned occupational (85%) and non-occupational (15%) exposures; Perinatal HIV Hotline calls concerned testing and care in pregnancy, labor and delivery (67%), and care of exposed infants (21%).
Conclusions: The Warmline, PEPline and Perinatal HIV Hotline in the US can serve as a model for other countries seeking to support the development of sustainable in-country clinical consultation services, increase capacity for nurses, pharmacists, clinical health officers and other healthcare workers to provide high-quality care and advice, and improve access to care for persons living with HIV. Through distance-based consultation, Warmlines can offer health care workers ready access to free, timely, expert clinical advice on antiretroviral therapy and other aspects of HIV management.
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