Shannon van Hoorn

185 Patient experiences with VBHC interventions at the HIV outpatient clinic 6 telephone consults with a fixed time on the workings of the HIV outpatient clinic and healthcare professional and patients experiences. Moreover, to further stimulate the dissemination of VBHC in this patient population both nationally as internationally, additional research could be performed to identify patient preference towards the addition of HIV specific questions to the generic quality of life questionnaire. This study however also found that some patients do not see the added value of a quality of life questionnaire or a double consultation in which the patient visits both the ID specialist and the nurse consultant/practitioner on the same day, especially if they are in chronic phase of their HIV infection or do not experience any health problems. This might indicate that the perceived added value of the three interventions might be dependent on stage of the HIV infection and the current (psychosocial) health state of the patient. Additional research should be performed to further understand patients experiences and preferences with care provision, and to assess the possibility of care personalization in which the care provision is adapted to patients individual needs and preferences. More specifically, future research could focus on potential difference in patient experiences and preferences depending on patient subgroups, for example the older HIV patients, women of migrant background, young adults, and children transitioning from pediatric to adult care. Subsequently, future research could focus on improving and adapting the current VBHC interventions to match the needs of patients with low health literacy or with a language barrier to further stimulate care improvements for all patients with HIV. CONCLUSION Patients with HIV primarily responded positively towards the VBHC interventions implemented at the HIV outpatient clinic. Patients are willing to complete a generic quality of life questionnaire before their consultation and see advantages in the addition of a consultation with the nurse consultant/ practitioner to the consult with the ID specialist. The added value of these interventions, however, diminishes if patients do not experience any health problems or are in the chronic stage of their HIV infection. Moreover, a telephone consultation is an acceptable and preferable alternative to a faceto-face consultation, especially if patients do not experience any health problems and for discussing routine aspects of care. Additional research should be performed to understand patient experiences and preferences

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