{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T05:47:43Z","timestamp":1782971263372,"version":"3.54.5"},"reference-count":28,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100010877","name":"ViiV Healthcare","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100010877","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Assoc Provid AIDS Care"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:p>We evaluated Klick, a nurse-led, digitally enabled model of HIV outpatient care, launched in 2020. Klick's smartphone app offers online booking, remote nurse-led consultations, and results. An audit of Klick nurse-led consultations was conducted against BHIVA monitoring guidelines, and nurses were interviewed about their experience. Of 40 Klick patients audited, 4 of 5 BHIVA standards were met: 100% had documented co-medications, smoking history, blood pressure, and viral load data, and 89% received a cardiovascular risk calculation (Targets 97%-90%-90%-90%-90%). Compared to national BHIVA audit findings, Klick performed better across 22 of 24 comparable measures. Nurses safely managed a cohort comprising some complexity (eg, co-morbidities, polypharmacy); no cases were escalated off the pathway, and all were virologically suppressed. Using a digitally supported model, nurses effectively provided safe care to HIV-positive patients with predominantly stable health, enabling consultants to focus on more complex caseloads. Care was comprehensive and person-centered and obtained better outcomes compared to previous national audits.<\/jats:p>","DOI":"10.1177\/23259582241274304","type":"journal-article","created":{"date-parts":[[2024,9,19]],"date-time":"2024-09-19T03:43:47Z","timestamp":1726717427000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Clinical Outcomes of a Nurse-Delivered, Technology-Enabled HIV Outpatient Model"],"prefix":"10.1177","volume":"23","author":[{"given":"Sara","family":"Day","sequence":"first","affiliation":[{"name":"Chelsea and Westminster Hospitals, NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Wilkins","sequence":"additional","affiliation":[{"name":"Chelsea and Westminster Hospitals, NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Murungi","sequence":"additional","affiliation":[{"name":"ViiV Healthcare, Brentford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina","family":"Antoniadi","sequence":"additional","affiliation":[{"name":"Chelsea and Westminster Hospitals, NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yodit","family":"Fissahaye-Yimer","sequence":"additional","affiliation":[{"name":"Chelsea and Westminster Hospitals, NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel","family":"Ohene-Adomako","sequence":"additional","affiliation":[{"name":"Chelsea and Westminster Hospitals, NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Asboe","sequence":"additional","affiliation":[{"name":"Chelsea and Westminster Hospitals, NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Rae","sequence":"additional","affiliation":[{"name":"Chelsea and Westminster Hospitals, NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,9,19]]},"reference":[{"key":"bibr1-23259582241274304","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)61809-7"},{"key":"bibr2-23259582241274304","unstructured":"Understanding Fast-Track: accelerating action to end the AIDS epidemic by 2030. UNAIDS. Accessed May 10, 2023. https:\/\/www.unaids.org\/sites\/default\/files\/media_asset\/201506_JC2743_Understanding_FastTrack_en.pdf"},{"key":"bibr3-23259582241274304","unstructured":"Fact sheet 2023. UNAIDS. Accessed March 12, 2024. https:\/\/www.unaids.org\/sites\/default\/files\/media_asset\/UNAIDS_FactSheet_en.pdf"},{"key":"bibr4-23259582241274304","unstructured":"Fast-Track Cities Global Web Portal. London HIV 95-95-95 targets. International Association of Providers of AIDS Care; 2020. Accessed July 25, 2023. https:\/\/www.fast-trackcities.org\/cities\/london"},{"key":"bibr5-23259582241274304","unstructured":"Towards zero - an action plan towards ending HIV transmission, AIDS and HIV-related deaths in England \u2013 2022 to 2025. Department of Health and Social Care. Accessed May 10, 2023. https:\/\/www.gov.uk\/government\/publications\/towards-zero-the-hiv-action-plan-for-england-2022-to-2025\/towards-zero-an-action-plan-towards-ending-hiv-transmission-aids-and-hiv-related-deaths-in-england-2022-to-2025"},{"key":"bibr6-23259582241274304","unstructured":"Ekong N, on behalf of the BHIVA Audit and Standards Sub-Committee. HIV monitoring and assessment in older adults: BHIVA National Clinical Audit 2018. British HIV Association. Accessed May 10, 2023. https:\/\/www.bhiva.org\/file\/5bd729acd7117\/Audit18EkongFinal.pdf"},{"key":"bibr7-23259582241274304","unstructured":"Molloy A, on behalf of BHIVA Audit and Standards Sub-Committee. Routine monitoring and assessment of adults with HIV: BHIVA national audit 2015. British HIV Association. 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