181 Patient experiences with VBHC interventions at the HIV outpatient clinic 6 participants (n=4, 15%) also had experience with a video consult. When asked about their preferences for a telephone or video consult, almost all participants preferred a telephone consult above a video consult. The participants raised a number of issues related to video consults such as the need for a certain level of computer skills, availability of a webcam and the access to a private area to take the video call especially if the participant is at work. The participants that had experience with video consults, mentioned one advantage of video consults, namely the fixed time of the consult. In contrast to telephone consults where the specialist can call at any time during (a part of) the day, video consults are scheduled at a fixed time so the patient knows when to login into the system used for video consults. This fixed time of the consults was one of the reasons some participants preferred the video above a telephone consult. Patients see advantages in a double consultation with both the nurse consultant/practitioner and ID specialist on the same day The last VBHC intervention consisted of a change in consultation structure in which all patients visiting the HIV outpatient clinic have an annual face-to-face double consultation in which they first visit the nurse consultant/practitioner immediately followed by a consultation with the ID specialist. The majority of the participants (n=24, 80%) reported to have followed this new consultation structure. Six participants (20%) reported to have first visited the ID specialist followed by a consultation with the nurse consultant/practitioner. The majority of the participants (n=18, 60%) commented that the addition of the consultation with the nurse consultant/practitioner positively influenced their care. They argued that the double consultation provided more structure to the outpatient clinic, led to a decrease in waiting time, and allowed for more attention to potential psychosocial problems that may or may not require further treatment. Some participants also felt that more topics were discussed and that there was more time to discuss new research initiatives in the field of HIV, their treatment and any questions they might have. As one interviewee (participant 12) put it, “I think it’s a very nice way of working because the nurse does the social department while the doctor focuses more on the medical business. The nurse asks about the home situation, how things are going at work and the social parts. Things like that you never discuss with your doctor”. Four participants (13%) did not see the added value of visiting both the nurse consultant/practitioner and the ID specialist on the same day. They
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