HIV/AIDS Indicators for Clinical Care Quality Assessment: Relevance and Utility Assessed by Health Professionals

Introduction: After conducting a systematic review of quality indicators for assessing HIV/AIDS clinical care, we aimed to assess the clinical relevance and practice utility of those indicators from the point of view of HIV/AIDS physician experts. Material and Methods: This is an observational, cro...

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Main Authors: Emanuel Castro Cassoco Catumbela, Cristina Santos, Alberto Freitas, Carlos Costa, António Sarmento, Altamiro Costa Pereira
Format: Article
Language:English
Published: Ordem dos Médicos 2016-06-01
Series:Acta Médica Portuguesa
Subjects:
Online Access:https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6360
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author Emanuel Castro Cassoco Catumbela
Cristina Santos
Alberto Freitas
Carlos Costa
António Sarmento
Altamiro Costa Pereira
author_facet Emanuel Castro Cassoco Catumbela
Cristina Santos
Alberto Freitas
Carlos Costa
António Sarmento
Altamiro Costa Pereira
author_sort Emanuel Castro Cassoco Catumbela
collection DOAJ
description Introduction: After conducting a systematic review of quality indicators for assessing HIV/AIDS clinical care, we aimed to assess the clinical relevance and practice utility of those indicators from the point of view of HIV/AIDS physician experts. Material and Methods: This is an observational, cross-sectional study, in which we selected, by convenience, physicians who work in an Infectious Disease Department of a central hospital to complete two questionnaires with a core set of indicators to establish the most relevant and useful indicators for assessment of the clinical HIV/AIDS care. A Likert scale was used to rank the indicators. Results: Eleven of thirteen physicians filled two questionnaires. From the initial list of 53 quality indicators, 21 were identified as the most relevant and useful in HIV/AIDS clinical care. The internal consistency for clinical relevance in each indicators domain was for clinical signs and symptoms (p = 0.971), for therapy (p = 0.900), for prognosis (p = 0.820) and diagnosis (p = 0.733) and for practice utility were diagnosis (p = 0.934), clinical signs (p = 0.964), laboratory examinations (p = 0.947), therapy (p = 0.583) and prognosis (p = 0.368). Discussion: In the process of assessing the clinical relevance and practice utility of HIV/AIDS quality care indicators, it was found that the majority of physicians agreed that diagnosis and clinical symptoms and signs indicators domains are the most important for assessing the quality of care for HIV/AIDS patients. Conclusion: This instrument should be considered as a diagnostic tool, allowing hospital administrators to identify if HIV/AIDS care is properly delivered or needs improvement.
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spelling doaj.art-d51e7b4de6db4e9eb16cda5e498afbaf2022-12-22T02:32:15ZengOrdem dos MédicosActa Médica Portuguesa0870-399X1646-07582016-06-0129610.20344/amp.6360HIV/AIDS Indicators for Clinical Care Quality Assessment: Relevance and Utility Assessed by Health ProfessionalsEmanuel Castro Cassoco Catumbela0Cristina Santos1Alberto Freitas2Carlos Costa3António Sarmento4Altamiro Costa Pereira5Department of Health Information and Decision Sciences. Faculty of Medicine. University of Porto. Porto. Department of Pathology. Faculty of Medicine. Universidade Agostinho Neto. Luanda. Angola. Center for Research in Health Technologies and Information Systems. University of Porto. Porto.Department of Health Information and Decision Sciences. Faculty of Medicine. University of Porto. Porto. Center for Research in Health Technologies and Information Systems. University of Porto. Porto.Department of Health Information and Decision Sciences. Faculty of Medicine. University of Porto. Porto. Center for Research in Health Technologies and Information Systems. University of Porto. Porto.National School of Public Health. University NOVA de Lisboa. Lisbon.Department of Infectious Diseases. Faculty of Medicine. University of Porto. Porto.Department of Health Information and Decision Sciences. Faculty of Medicine. University of Porto. Porto. Center for Research in Health Technologies and Information Systems. University of Porto. Porto. Introduction: After conducting a systematic review of quality indicators for assessing HIV/AIDS clinical care, we aimed to assess the clinical relevance and practice utility of those indicators from the point of view of HIV/AIDS physician experts. Material and Methods: This is an observational, cross-sectional study, in which we selected, by convenience, physicians who work in an Infectious Disease Department of a central hospital to complete two questionnaires with a core set of indicators to establish the most relevant and useful indicators for assessment of the clinical HIV/AIDS care. A Likert scale was used to rank the indicators. Results: Eleven of thirteen physicians filled two questionnaires. From the initial list of 53 quality indicators, 21 were identified as the most relevant and useful in HIV/AIDS clinical care. The internal consistency for clinical relevance in each indicators domain was for clinical signs and symptoms (p = 0.971), for therapy (p = 0.900), for prognosis (p = 0.820) and diagnosis (p = 0.733) and for practice utility were diagnosis (p = 0.934), clinical signs (p = 0.964), laboratory examinations (p = 0.947), therapy (p = 0.583) and prognosis (p = 0.368). Discussion: In the process of assessing the clinical relevance and practice utility of HIV/AIDS quality care indicators, it was found that the majority of physicians agreed that diagnosis and clinical symptoms and signs indicators domains are the most important for assessing the quality of care for HIV/AIDS patients. Conclusion: This instrument should be considered as a diagnostic tool, allowing hospital administrators to identify if HIV/AIDS care is properly delivered or needs improvement. https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6360Acquired Immunodeficiency SyndromeHIV InfectionsPatient CareQuality AssuranceHealth CareQuality Indicators
spellingShingle Emanuel Castro Cassoco Catumbela
Cristina Santos
Alberto Freitas
Carlos Costa
António Sarmento
Altamiro Costa Pereira
HIV/AIDS Indicators for Clinical Care Quality Assessment: Relevance and Utility Assessed by Health Professionals
Acta Médica Portuguesa
Acquired Immunodeficiency Syndrome
HIV Infections
Patient Care
Quality Assurance
Health Care
Quality Indicators
title HIV/AIDS Indicators for Clinical Care Quality Assessment: Relevance and Utility Assessed by Health Professionals
title_full HIV/AIDS Indicators for Clinical Care Quality Assessment: Relevance and Utility Assessed by Health Professionals
title_fullStr HIV/AIDS Indicators for Clinical Care Quality Assessment: Relevance and Utility Assessed by Health Professionals
title_full_unstemmed HIV/AIDS Indicators for Clinical Care Quality Assessment: Relevance and Utility Assessed by Health Professionals
title_short HIV/AIDS Indicators for Clinical Care Quality Assessment: Relevance and Utility Assessed by Health Professionals
title_sort hiv aids indicators for clinical care quality assessment relevance and utility assessed by health professionals
topic Acquired Immunodeficiency Syndrome
HIV Infections
Patient Care
Quality Assurance
Health Care
Quality Indicators
url https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6360
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