A review of how the quality of HIV clinical services has been evaluated or improved.

Journal Article (Journal Article;Review)

To examine approaches being used to evaluate and improve quality of HIV clinical services we searched the MEDLINE, Cochrane Library collection, EMBASE, Global Health, and Web of Science databases for articles and abstracts focused on evaluating or improving quality of HIV clinical services. We extracted country income level, targeted clinical services, and quality evaluation approaches, data sources, and criteria. Fifty journal articles and 46 meeting abstracts were included. Of the 96 studies reviewed, 65% were programme evaluations, 71% focused on low- and middle-income countries, and 65% focused on antiretroviral therapy services. With regard to quality, 45% used a quality improvement model or programme, 13% set a quality threshold, and 51% examined patient records to evaluate quality. No studies provided a definition for quality HIV care. Quality assurance and improvement of HIV clinical services is increasingly important. This review highlights gaps in knowledge for future research, and may also help countries and programmes develop their HIV care quality improvement frameworks.

Full Text

Duke Authors

Cited Authors

  • Hung, A; Pradel, F

Published Date

  • June 2015

Published In

Volume / Issue

  • 26 / 7

Start / End Page

  • 445 - 455

PubMed ID

  • 25033882

Electronic International Standard Serial Number (EISSN)

  • 1758-1052

Digital Object Identifier (DOI)

  • 10.1177/0956462414543938

Language

  • eng

Conference Location

  • England