Measures of Quality of Care for People with HIV: A Scoping Review of Performance Indicators for Primary Care.
The healthcare of people with HIV is transitioning from specialty care to the primary healthcare (PHC) system. However, many of the performance indicators used to measure the quality of HIV care pre-date this transition. The goal of this work was to examine how existing HIV care performance indicato...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2015-01-01
|
| Series: | PLoS ONE |
| Online Access: | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0136757&type=printable |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832540000086917120 |
|---|---|
| author | Sharon Johnston Claire Kendall Matthew Hogel Meaghan McLaren Clare Liddy |
| author_facet | Sharon Johnston Claire Kendall Matthew Hogel Meaghan McLaren Clare Liddy |
| author_sort | Sharon Johnston |
| collection | DOAJ |
| description | The healthcare of people with HIV is transitioning from specialty care to the primary healthcare (PHC) system. However, many of the performance indicators used to measure the quality of HIV care pre-date this transition. The goal of this work was to examine how existing HIV care performance indicators measure the comprehensive and longitudinal care offered in a PHC setting. A scoping review consisting of peer-reviewed and grey literature searches was performed. Two reviewers evaluated study eligibility and indicators in documents meeting inclusion criteria were extracted into a database. Indicators were matched to a PHC performance measurement framework to determine their applicability for evaluating quality of care in the PHC setting. The literature search identified 221 publications, of which 47 met inclusion criteria. 1184 indicators were extracted and removal of duplicates left 558 unique indicators. A majority of the 558 indicators fell under the 'secondary prevention' (12%) and 'care of chronic conditions' (33%) domains when indicators were matched to the PHC performance framework. Despite the imbalance, nearly all performance domains in the PHC framework were populated by at least one indicator with significant concentrations in domains such as patient-provider relationship, patient satisfaction, population and community characteristics, and access to care. Existing performance frameworks for the care of people with HIV provide a comprehensive set of indicators that align well with a PHC performance framework. Nonetheless, some important elements of care, such as patient-reported outcomes, are poorly covered by existing indicators. Advancing our understanding of how the experience of care for people with HIV is impacted by changes in health services delivery, specifically more care within the PHC system, will require performance indicators to capture this aspect of HIV care. |
| format | Article |
| id | doaj-art-d9013dd930b34263bdf8f681ef76d1de |
| institution | Kabale University |
| issn | 1932-6203 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj-art-d9013dd930b34263bdf8f681ef76d1de2025-02-05T05:33:12ZengPublic Library of Science (PLoS)PLoS ONE1932-62032015-01-01109e013675710.1371/journal.pone.0136757Measures of Quality of Care for People with HIV: A Scoping Review of Performance Indicators for Primary Care.Sharon JohnstonClaire KendallMatthew HogelMeaghan McLarenClare LiddyThe healthcare of people with HIV is transitioning from specialty care to the primary healthcare (PHC) system. However, many of the performance indicators used to measure the quality of HIV care pre-date this transition. The goal of this work was to examine how existing HIV care performance indicators measure the comprehensive and longitudinal care offered in a PHC setting. A scoping review consisting of peer-reviewed and grey literature searches was performed. Two reviewers evaluated study eligibility and indicators in documents meeting inclusion criteria were extracted into a database. Indicators were matched to a PHC performance measurement framework to determine their applicability for evaluating quality of care in the PHC setting. The literature search identified 221 publications, of which 47 met inclusion criteria. 1184 indicators were extracted and removal of duplicates left 558 unique indicators. A majority of the 558 indicators fell under the 'secondary prevention' (12%) and 'care of chronic conditions' (33%) domains when indicators were matched to the PHC performance framework. Despite the imbalance, nearly all performance domains in the PHC framework were populated by at least one indicator with significant concentrations in domains such as patient-provider relationship, patient satisfaction, population and community characteristics, and access to care. Existing performance frameworks for the care of people with HIV provide a comprehensive set of indicators that align well with a PHC performance framework. Nonetheless, some important elements of care, such as patient-reported outcomes, are poorly covered by existing indicators. Advancing our understanding of how the experience of care for people with HIV is impacted by changes in health services delivery, specifically more care within the PHC system, will require performance indicators to capture this aspect of HIV care.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0136757&type=printable |
| spellingShingle | Sharon Johnston Claire Kendall Matthew Hogel Meaghan McLaren Clare Liddy Measures of Quality of Care for People with HIV: A Scoping Review of Performance Indicators for Primary Care. PLoS ONE |
| title | Measures of Quality of Care for People with HIV: A Scoping Review of Performance Indicators for Primary Care. |
| title_full | Measures of Quality of Care for People with HIV: A Scoping Review of Performance Indicators for Primary Care. |
| title_fullStr | Measures of Quality of Care for People with HIV: A Scoping Review of Performance Indicators for Primary Care. |
| title_full_unstemmed | Measures of Quality of Care for People with HIV: A Scoping Review of Performance Indicators for Primary Care. |
| title_short | Measures of Quality of Care for People with HIV: A Scoping Review of Performance Indicators for Primary Care. |
| title_sort | measures of quality of care for people with hiv a scoping review of performance indicators for primary care |
| url | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0136757&type=printable |
| work_keys_str_mv | AT sharonjohnston measuresofqualityofcareforpeoplewithhivascopingreviewofperformanceindicatorsforprimarycare AT clairekendall measuresofqualityofcareforpeoplewithhivascopingreviewofperformanceindicatorsforprimarycare AT matthewhogel measuresofqualityofcareforpeoplewithhivascopingreviewofperformanceindicatorsforprimarycare AT meaghanmclaren measuresofqualityofcareforpeoplewithhivascopingreviewofperformanceindicatorsforprimarycare AT clareliddy measuresofqualityofcareforpeoplewithhivascopingreviewofperformanceindicatorsforprimarycare |