Indicadores de qualidade para avaliar os cuidados clínicos prestados a doentes com infeção por VIH/SIDA
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.20344/amp.6360 |
Resumo: | 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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Indicadores de qualidade para avaliar os cuidados clínicos prestados a doentes com infeção por VIH/SIDAHIV/AIDS indicators for clinical care quality assessmentRelevance and utility assessed by health professionalsRelevância e utilidade avaliadas por profissionais de saúdeAcquired immunodeficiency syndromeHIV infectionsPatient careQuality assurance, health careQuality indicators, health careMedicine(all)SDG 3 - Good Health and Well-beingIntroduction: 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.Escola Nacional de Saúde Pública (ENSP)Centro de Investigação em Saúde Pública (CISP/PHRC)RUNCatumbela, EmanuelSantos, CristinaFreitas, AlbertoCosta, CarlosSarmento, Antónioda Costa Pereira, Altamiro2018-02-16T23:06:56Z2016-06-012016-06-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article12application/pdfhttps://doi.org/10.20344/amp.6360por0870-399XPURE: 16465067http://www.scopus.com/inward/record.url?scp=84977558292&partnerID=8YFLogxKhttps://doi.org/10.20344/amp.6360info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T04:16:53Zoai:run.unl.pt:10362/30634Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:29:30.604305Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Indicadores de qualidade para avaliar os cuidados clínicos prestados a doentes com infeção por VIH/SIDA HIV/AIDS indicators for clinical care quality assessmentRelevance and utility assessed by health professionals Relevância e utilidade avaliadas por profissionais de saúde |
title |
Indicadores de qualidade para avaliar os cuidados clínicos prestados a doentes com infeção por VIH/SIDA |
spellingShingle |
Indicadores de qualidade para avaliar os cuidados clínicos prestados a doentes com infeção por VIH/SIDA Catumbela, Emanuel Acquired immunodeficiency syndrome HIV infections Patient care Quality assurance, health care Quality indicators, health care Medicine(all) SDG 3 - Good Health and Well-being |
title_short |
Indicadores de qualidade para avaliar os cuidados clínicos prestados a doentes com infeção por VIH/SIDA |
title_full |
Indicadores de qualidade para avaliar os cuidados clínicos prestados a doentes com infeção por VIH/SIDA |
title_fullStr |
Indicadores de qualidade para avaliar os cuidados clínicos prestados a doentes com infeção por VIH/SIDA |
title_full_unstemmed |
Indicadores de qualidade para avaliar os cuidados clínicos prestados a doentes com infeção por VIH/SIDA |
title_sort |
Indicadores de qualidade para avaliar os cuidados clínicos prestados a doentes com infeção por VIH/SIDA |
author |
Catumbela, Emanuel |
author_facet |
Catumbela, Emanuel Santos, Cristina Freitas, Alberto Costa, Carlos Sarmento, António da Costa Pereira, Altamiro |
author_role |
author |
author2 |
Santos, Cristina Freitas, Alberto Costa, Carlos Sarmento, António da Costa Pereira, Altamiro |
author2_role |
author author author author author |
dc.contributor.none.fl_str_mv |
Escola Nacional de Saúde Pública (ENSP) Centro de Investigação em Saúde Pública (CISP/PHRC) RUN |
dc.contributor.author.fl_str_mv |
Catumbela, Emanuel Santos, Cristina Freitas, Alberto Costa, Carlos Sarmento, António da Costa Pereira, Altamiro |
dc.subject.por.fl_str_mv |
Acquired immunodeficiency syndrome HIV infections Patient care Quality assurance, health care Quality indicators, health care Medicine(all) SDG 3 - Good Health and Well-being |
topic |
Acquired immunodeficiency syndrome HIV infections Patient care Quality assurance, health care Quality indicators, health care Medicine(all) SDG 3 - Good Health and Well-being |
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. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-06-01 2016-06-01T00:00:00Z 2018-02-16T23:06:56Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.20344/amp.6360 |
url |
https://doi.org/10.20344/amp.6360 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
0870-399X PURE: 16465067 http://www.scopus.com/inward/record.url?scp=84977558292&partnerID=8YFLogxK https://doi.org/10.20344/amp.6360 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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12 application/pdf |
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