Teleconsultation Improves Primary Care Clinicians’ Confidence about Caring for HIV

Waldura, Jessica F.; Neff, Sarah; Dehlendorf, Christine; Goldschmidt, Ronald H.

doi:10.1007/s11606-013-2332-5

Cited by 35 publications

(29 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…33 34 Emergency Department testing might also be an important means to expand HIV testing services in the Mississippi Delta; other studies find emergency rooms may provide opportunities to link patients to treatment and care services who otherwise would not have been tested because they lack health insurance or primary care providers. [35][36][37] Additionally, telemedicine has been used successfully in other settings for HIV/AIDS care, [38][39][40] and for primary care in the Delta region; those programs may offer important lessons for enhancing treatment and care in the Delta. Formal partnerships for referrals and other technical assistance with experienced HIV care providers in other parts of Mississippi could also enhance HIV testing and care practices in the Mississippi Delta region.…”

Section: Discussionmentioning

confidence: 99%

Healthcare Provider Attitudes, Practices, and Recommendations for Enhancing Routine HIV Testing and Linkage to Care in the Mississippi Delta Region

Sison

Yolken

Poceta

et al. 2013

AIDS Patient Care and STDs

View full text Add to dashboard Cite

The Mississippi Delta region is one of the communities most heavily impacted by HIV/AIDS in the United States. To understand local provider attitudes and practices regarding HIV testing and care, we conducted 25 in-depth qualitative interviews with local primary care providers and infectious disease specialists. Interviews explored attitudes and practices regarding HIV testing and linkage to care. Most providers did not routinely offer HIV testing, noting financial barriers, financial disincentives to offer routine screening, misperceptions about local informed consent laws, perceived stigma among patients, and belief that HIV testing was the responsibility of the health department. Barriers to enhancing treatment and care included stigma, long distances, lack of transportation, and paucity of local infectious disease specialists. Opportunities for enhancing HIV testing and care included provider education programs regarding billing, local HIV testing guidelines, and informed consent, as well as telemedicine services for underserved counties. Although most health care providers in our study did not currently offer routine HIV testing, all were willing to provide more testing and care services if they were able to bill for routine testing. Increasing financial reimbursement and access to care, including through the Affordable Care Act, may provide an opportunity to enhance HIV/AIDS services in the Mississippi Delta.

show abstract

Section: Discussionmentioning

confidence: 99%

Healthcare Provider Attitudes, Practices, and Recommendations for Enhancing Routine HIV Testing and Linkage to Care in the Mississippi Delta Region

Sison

Yolken

Poceta

et al. 2013

AIDS Patient Care and STDs

View full text Add to dashboard Cite

show abstract

“…Improving coordination between care levels would not only enhance healthcare, but also be of considerable educational value and lead to a more cost-effective use of health services [2,20]. Telemedicine can improve communication between PC and SC, and thereby improve efficiency, cost-effectiveness, and medical care quality [21][22][23][24][25][26][27], with a high degree of patient satisfaction [28][29][30].. In addition, telemedicine can reduce the number of supplementary tests and referrals to SC (by between 8.9 and 51%) [30][31][32].…”

Section: Introductionmentioning

confidence: 99%

Efficiency as a determinant of loyalty among users of a Community of Clinical Practice: a comparative study between the implementation and consolidation phases

et al. 2020

View full text Add to dashboard Cite

Background: A community of clinical practice called the Online Communication Tool between Primary and Hospital Care (ECOPIH) was created to enable primary care and specialist care professionals to communicate with each other in order to resolve real clinical cases, thereby improving communication and coordination between care levels. The present work seeks to analyse whether ECOPIH makes it possible to reduce the number of referrals. To that end, the objectives are: (1) To find out the degree of loyalty among ECOPIH users, by comparing the medical professionals' profiles in the tool's implementation phase to those in its consolidation phase. (2) To evaluate the degree of fulfilment of users' expectations, by establishing the determining factors that had an influence on the physicians' intention to use ECOPIH in the implementation phase and observing whether its use had an effective, direct impact on the number of patient referrals that primary care physicians made to specialist care professionals. Methods: Two studies were conducted. Based on a survey of all the physicians in a Primary Care area, Study 1 was a descriptive study in ECOPIH's implementation phase. Study 2 was a randomised intervention study of ECOPIH users in the tool's consolidation phase. The results from both studies were compared. Various bivariate and multivariate statistical techniques (exploratory factor analysis, cluster analysis, logistic regression analysis and ANOVA) were used in both studies, which were conducted on a sample of 111 and 178 physicians, respectively. Results: We confirmed the existence of an ECOPIH user profile stable across both phases: under-50-year-old women. Regarding the second objective, there were two particular findings. First, the discriminant factors that had an influence on greater ECOPIH use were habitual Social media website and app use and Perceived usefulness for reducing costs. Second, PC professionals who were ECOPIH members made fewer referrals to SC professionals in Cardiology, Endocrinology and Gastroenterology than older PC professionals who were not ECOPIH members. Conclusions: The use of a community of clinical practice by primary care and specialist care professionals helps to reduce the number of referrals among medical professionals.

show abstract

“…The methods of providing that expertise will also vary over time. 85,[121][122][123][124][125][126][127][128][129][130] These limitations notwithstanding, we hope to promote systematic consideration of the PCP-specialist interface to promote effective and efficient patient-centered care.…”

Section: Discussionmentioning

confidence: 99%

Providing Specialty Consultant Expertise to Primary Care: An Expanding Spectrum of Modalities

Kirsh

Aron

2014

Mayo Clinic Proceedings

View full text Add to dashboard Cite

In most models of health care delivery, the bulk of services are provided in primary care and there is frequent request for the input of specialty consultants. A critical issue for current and future health care systems is the effective and efficient delivery of specialist expertise for clinicians and patients. Input on a patient's care from specialty consultants usually requires a face-to-face visit between the patient and the consultant. New and complementary models of knowledge sharing have emerged. We describe a framework assessment of a spectrum of knowledge-sharing methods in the context of a patient-centered medical home. This framework is based on our experience in the Veterans Health Administration and a purposive review of the literature. These newer modes of specialty consultation include electronic consultation, secure text messaging, telemedicine of various types, and population preemptive consults. In addition to describing these modes of consultation, our framework points to several important areas in which further research is needed to optimize effectiveness.

show abstract

Teleconsultation Improves Primary Care Clinicians’ Confidence about Caring for HIV

Cited by 35 publications

References 24 publications

Healthcare Provider Attitudes, Practices, and Recommendations for Enhancing Routine HIV Testing and Linkage to Care in the Mississippi Delta Region

Healthcare Provider Attitudes, Practices, and Recommendations for Enhancing Routine HIV Testing and Linkage to Care in the Mississippi Delta Region

Efficiency as a determinant of loyalty among users of a Community of Clinical Practice: a comparative study between the implementation and consolidation phases

Providing Specialty Consultant Expertise to Primary Care: An Expanding Spectrum of Modalities

Contact Info

Product

Resources

About