Quality-of-care indicators for HIV/AIDS

Albert W Wu, Allen Gifford, Steven Asch, Susan E. Cohn, Samuel A. Bozzette, Robin Yurk

Research output: Contribution to journalArticle

Abstract

As care for HIV/AIDS becomes more concentrated within specific providers and organisations, it would be useful to have indicators to describe the quality of care. This paper reviews concepts related to quality of care, and practical issues including sampling and risk adjustment. Indicators can be collected using a combination of administrative, chart review and survey data to reflect clinical, patient and societal perspectives. We suggest that for adults with HIV/AIDS, indicators might include measures of health status and patient satisfaction, and essential care processes. Health status measures could include CD4+ T-lymphocyte count and HIV-RNA, progression to AIDS, symptom scores, health-related quality of life scores, patient utility and disability days. Essential care processes could include receipt of acceptable antiretroviral treatment, CD4+ and HIV-RNA monitoring, screening for opportunistic infections, prophylaxis against Pneumocystis carinii pneumonia, handling of symptoms and pneumococcal vaccination. For those at increased risk for HIV, potential indicators include screening for HIV risk behaviours and HIV testing. Data from indicators such as these could be used by individuals to select among providers, purchasers of care to select among health plans and payors to hold provider groups accountable. In addition, data could be used by groups of providers to improve the quality of care.

Original languageEnglish (US)
Pages (from-to)315-330
Number of pages16
JournalDisease Management and Health Outcomes
Volume7
Issue number6
StatePublished - 2000

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Quality of Health Care
Acquired Immunodeficiency Syndrome
HIV
Health Status
RNA
Risk Adjustment
Pneumocystis Pneumonia
Opportunistic Infections
CD4 Lymphocyte Count
Risk-Taking
Patient Satisfaction
Vaccination
Quality of Life
Organizations
T-Lymphocytes
Health

ASJC Scopus subject areas

  • Health Policy
  • Nursing(all)

Cite this

Wu, A. W., Gifford, A., Asch, S., Cohn, S. E., Bozzette, S. A., & Yurk, R. (2000). Quality-of-care indicators for HIV/AIDS. Disease Management and Health Outcomes, 7(6), 315-330.

Quality-of-care indicators for HIV/AIDS. / Wu, Albert W; Gifford, Allen; Asch, Steven; Cohn, Susan E.; Bozzette, Samuel A.; Yurk, Robin.

In: Disease Management and Health Outcomes, Vol. 7, No. 6, 2000, p. 315-330.

Research output: Contribution to journalArticle

Wu, AW, Gifford, A, Asch, S, Cohn, SE, Bozzette, SA & Yurk, R 2000, 'Quality-of-care indicators for HIV/AIDS', Disease Management and Health Outcomes, vol. 7, no. 6, pp. 315-330.
Wu AW, Gifford A, Asch S, Cohn SE, Bozzette SA, Yurk R. Quality-of-care indicators for HIV/AIDS. Disease Management and Health Outcomes. 2000;7(6):315-330.
Wu, Albert W ; Gifford, Allen ; Asch, Steven ; Cohn, Susan E. ; Bozzette, Samuel A. ; Yurk, Robin. / Quality-of-care indicators for HIV/AIDS. In: Disease Management and Health Outcomes. 2000 ; Vol. 7, No. 6. pp. 315-330.
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