The Use of Assessment of Chronic Illness Care Technology to Evaluate the Institutional Capacity for HIV/AIDS Management
The effectiveness of antiretroviral therapy has rendered HIV infection a manageable chronic condition. Currently, the health systems face the challenge of adopting organizational healthcare models capable of ensuring the delivery of comprehensive care. The Chronic Care Model has been reported for it...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2019-02-01
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| Series: | Frontiers in Pharmacology |
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| Online Access: | https://www.frontiersin.org/article/10.3389/fphar.2019.00165/full |
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| author | Andressa Wanneska Martins da Silva Micheline Marie Milward de Azevedo Meiners Elza Ferreira Noronha Maria Inês de Toledo |
| author_facet | Andressa Wanneska Martins da Silva Micheline Marie Milward de Azevedo Meiners Elza Ferreira Noronha Maria Inês de Toledo |
| author_sort | Andressa Wanneska Martins da Silva |
| collection | DOAJ |
| description | The effectiveness of antiretroviral therapy has rendered HIV infection a manageable chronic condition. Currently, the health systems face the challenge of adopting organizational healthcare models capable of ensuring the delivery of comprehensive care. The Chronic Care Model has been reported for its effectiveness, particularly in terms of delivery system design. In this study, the Assessment of Chronic Illness Care (ACIC) questionnaire, a soft technology widely used for other chronic conditions, was employed on a teaching hospital to evaluate healthcare provided to people living with HIV/AIDS. The ACIC technology is a self-explanatory instrument which diagnoses, among the six components of the Chronic Care Model Framework, areas for quality improvements, indicating at the same time, intervention strategies and achievements. These components are healthcare network organization, delivery system design, self-management support, decision support, clinical information systems, and community. From May to October 2014, the tool was applied to the multidisciplinary teamwork at the points of care identified, as well as to the hospital management board. Respondents broadly rated care as basic. A pronounced contrast was observed from evaluation by management board and health professional staff in some components like organization of healthcare and clinical information system. The self-management support and delivery system design were the components best evaluated by the multidisciplinary team. Combined with the array of services offered, the entry points available at the hospital can ensure healthcare comprehensiveness. However, some gaps were detected, precluding the delivery of an effective care. The ACIC was considered an adequate technology to provide knowledge of the gaps, to promote productive discussions and reflections within teams and to indicate actions to achieve improvements on healthcare for people living with HIV/AIDS. |
| first_indexed | 2024-12-10T16:56:00Z |
| format | Article |
| id | doaj.art-1507c24cb7164e63914dff6c4023ea38 |
| institution | Directory Open Access Journal |
| issn | 1663-9812 |
| language | English |
| last_indexed | 2024-12-10T16:56:00Z |
| publishDate | 2019-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pharmacology |
| spelling | doaj.art-1507c24cb7164e63914dff6c4023ea382022-12-22T01:40:44ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122019-02-011010.3389/fphar.2019.00165439506The Use of Assessment of Chronic Illness Care Technology to Evaluate the Institutional Capacity for HIV/AIDS ManagementAndressa Wanneska Martins da Silva0Micheline Marie Milward de Azevedo Meiners1Elza Ferreira Noronha2Maria Inês de Toledo3Tropical Medicine, Faculty of Medicine, University of Brasília, Brasília, BrazilCollege of Pharmacy, Faculty of Ceilândia, University of Brasília, Brasília, BrazilTropical Medicine, Faculty of Medicine, University of Brasília, Brasília, BrazilTropical Medicine, Faculty of Medicine, University of Brasília, Brasília, BrazilThe effectiveness of antiretroviral therapy has rendered HIV infection a manageable chronic condition. Currently, the health systems face the challenge of adopting organizational healthcare models capable of ensuring the delivery of comprehensive care. The Chronic Care Model has been reported for its effectiveness, particularly in terms of delivery system design. In this study, the Assessment of Chronic Illness Care (ACIC) questionnaire, a soft technology widely used for other chronic conditions, was employed on a teaching hospital to evaluate healthcare provided to people living with HIV/AIDS. The ACIC technology is a self-explanatory instrument which diagnoses, among the six components of the Chronic Care Model Framework, areas for quality improvements, indicating at the same time, intervention strategies and achievements. These components are healthcare network organization, delivery system design, self-management support, decision support, clinical information systems, and community. From May to October 2014, the tool was applied to the multidisciplinary teamwork at the points of care identified, as well as to the hospital management board. Respondents broadly rated care as basic. A pronounced contrast was observed from evaluation by management board and health professional staff in some components like organization of healthcare and clinical information system. The self-management support and delivery system design were the components best evaluated by the multidisciplinary team. Combined with the array of services offered, the entry points available at the hospital can ensure healthcare comprehensiveness. However, some gaps were detected, precluding the delivery of an effective care. The ACIC was considered an adequate technology to provide knowledge of the gaps, to promote productive discussions and reflections within teams and to indicate actions to achieve improvements on healthcare for people living with HIV/AIDS.https://www.frontiersin.org/article/10.3389/fphar.2019.00165/fullChronic Care ModelACICdelivery system designHIV/AIDSassessment technologyhealth evaluation |
| spellingShingle | Andressa Wanneska Martins da Silva Micheline Marie Milward de Azevedo Meiners Elza Ferreira Noronha Maria Inês de Toledo The Use of Assessment of Chronic Illness Care Technology to Evaluate the Institutional Capacity for HIV/AIDS Management Frontiers in Pharmacology Chronic Care Model ACIC delivery system design HIV/AIDS assessment technology health evaluation |
| title | The Use of Assessment of Chronic Illness Care Technology to Evaluate the Institutional Capacity for HIV/AIDS Management |
| title_full | The Use of Assessment of Chronic Illness Care Technology to Evaluate the Institutional Capacity for HIV/AIDS Management |
| title_fullStr | The Use of Assessment of Chronic Illness Care Technology to Evaluate the Institutional Capacity for HIV/AIDS Management |
| title_full_unstemmed | The Use of Assessment of Chronic Illness Care Technology to Evaluate the Institutional Capacity for HIV/AIDS Management |
| title_short | The Use of Assessment of Chronic Illness Care Technology to Evaluate the Institutional Capacity for HIV/AIDS Management |
| title_sort | use of assessment of chronic illness care technology to evaluate the institutional capacity for hiv aids management |
| topic | Chronic Care Model ACIC delivery system design HIV/AIDS assessment technology health evaluation |
| url | https://www.frontiersin.org/article/10.3389/fphar.2019.00165/full |
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