Document 0215 DOCN M9590215 TI Tasmania--backward or beyond...? Mainstreaming HIV care in Tasmania. DT 9509 AU Roberts C; Sexual Health Service, Launceston, TAS. SO Annu Conf Australas Soc HIV Med. 1994 Nov 3-6;6:50 (unnumbered abstract). Unique Identifier : AIDSLINE ASHM6/95291884 AB In this paper a model of community based service delivery as influenced by the role of the Clinical Nurse Consultant HIV/AIDS which has been in use in Tasmania for the last 2 years will be explored. The main aims of the position were (1) to provide expert nursing consultancy within the community setting, (2) collaborate with other health workers in the hospitals & community with the view to integrating HIV/AIDS care within mainstream health and (3) to allow clients access to brokerage monies which allow the purchase of goods & services which might prevent premature/inappropriate hospitalisation. To support this model a nurse's special interest group & a volunteer support program managed by Palliative Care Services was formed. These groups dovetail into the education and community support groups which exist in the North, North East & North West of the state. The paper will outline how this model of integrated care has worked and whilst numbers of clients have been low the quality of care and treatments has been high. The significance of HIV in Tasmania and the social issues which impact on service delivery will also be examined highlighting the limitations imposed upon the workers. Tasmania has 17 Fairfield Hospital trained GP's who are the primary care providers with specialist Consultant backup in each of the three health regions. Their role and ongoing education which enhances the quality of care provided will also be investigated. HIV services are now being integrated into the Sexual Health model of service delivery. The issues which surround this marriage are also explored. DE Combined Modality Therapy Community Health Services/ECONOMICS/*TRENDS Cost-Benefit Analysis/TRENDS Delivery of Health Care/ECONOMICS/TRENDS Forecasting Human HIV Infections/ECONOMICS/*NURSING Nurse Clinicians/ECONOMICS/*TRENDS Patient Care Team/ECONOMICS/*TRENDS Tasmania MEETING ABSTRACT SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).