180 Chapter 6 of how things are going. So I wouldn’t say I’m really missing things in the questionnaire because, for example, they wouldn’t come up otherwise.” The five patients (17%) that did not complete the questionnaire provided several reasons why they did not complete the questionnaire. These reasons include not being able to access the questionnaire due to computer difficulties, uncertainty about the goal or purpose of the questionnaire, and a general perception that questionnaires are to tedious to complete. Patients also mentioned to be confused about the difference between the generic quality of life questionnaire and the COVID-19 questionnaire. The COVID-19 questionnaire was implemented during the COVID-19 pandemic to ask patients if they experienced COVID-19-related symptoms before their visit to the outpatient clinic. The reminder to complete the quality of life questionnaire was send during the same time period in which the patients received the COVID-19 questionnaire. As one participant (participant 13) illustrated, “No, I didn’t. No, I didn’t know either. I thought I was going to fill in the COVID questionnaire and later it turned out to be a completely different questionnaire.” Patients prefer a remote consultation instead of a face-toface consultation The second VBHC intervention consisted of a change in consultation schedule in which patients received an annual remote consultation instead of a second face-to-face consultation at the HIV outpatient clinic. When the participants were asked about this change, the majority (n=22, 73%) responded positively and reported different advantages of a remote consultation including less travel and waiting time, not having to take time off from work and an increasing efficiency during the consultation. Several participants also argued that a remote consultation is acceptable and preferable if everything is going well and for discussing routine aspects of care like passing on lab results. As one interviewee (participants 21) put it, “I think that [one remote consultation and one face-to-face consultation] is perfect. That is totally the right balance. And about the telephone consult, yes less travel time. You do not have to go to the hospital. I just find that efficient. It will probably only be a short call with some data and updates. And the hospital visit will be a little longer. Yes, I really only see advantages”. When asked about the participants past experiences with a remote consultation, 85% of the participants that answered this question (n=27) reported to have experience with a telephone consult. A small number of
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