HIV Interregional Initiative, Kaiser Permanente, Oakland, CA 94612, USA.
Clin Infect Dis. 2010 Sep 15;51(6):732-8. doi: 10.1086/655893.
Human immunodeficiency virus (HIV) is now a complex, chronic disease requiring high quality care. Demonstration of quality HIV care requires uniform, aligned HIV care quality measurement.
In September 2007, the National Committee for Quality Assurance, under contract with the Health Resources and Services Administration, the Physician Consortium for Performance Improvement of the American Medical Association, and HIV Medicine Association of the Infectious Disease Society of America jointly sponsored and convened an expert panel as a HIV/AIDS Work Group to draft national HIV/AIDS performance measures for individual patient-level and system-level quality improvement.
A total of 17 measures were developed to assess processes and outcomes of HIV/AIDS care for patients established in care, defined as having at least 2 visits in a 12-month period; thus, measures of HIV screening, testing, linkage, and access to care were not included. As a set, the measures assess a wide range of care, including patient retention, screening and prophylaxis for opportunistic infections, immunization, and initiation and monitoring of potent antiretroviral therapy. Since development, the HIV/AIDS measures' specifications have been fully determined and are being beta tested, and a majority have been endorsed by the National Quality Forum and have been adopted and implemented by the sponsoring organizations.
HIV care quality measurement should be assessed with greater uniformity. The measures presented offer opportunities for such alignment.
人类免疫缺陷病毒 (HIV) 现已成为一种复杂的慢性疾病，需要高质量的护理。要证明 HIV 护理的质量，就需要采用统一、协调的 HIV 护理质量衡量标准。
2007 年 9 月，美国国家质量保证委员会与卫生资源和服务管理局、美国医师协会绩效改进医师联合会以及美国传染病学会艾滋病毒医学协会签订合同，共同主办并召集一个专家小组作为 HIV/AIDS 工作组，为个体患者层面和系统层面的质量改进起草国家 HIV/AIDS 绩效衡量标准。
共制定了 17 项措施，用于评估接受护理的 HIV/AIDS 患者的护理流程和结果，这些患者的定义是在 12 个月内至少有 2 次就诊；因此，不包括 HIV 筛查、检测、关联和获得护理的措施。作为一个整体，这些措施评估了广泛的护理，包括患者保留、机会性感染的筛查和预防、免疫接种以及开始和监测强效抗逆转录病毒治疗。自制定以来，HIV/AIDS 措施的规格已经完全确定，并正在进行测试，其中大多数已经得到国家质量论坛的认可，并已被发起组织采用和实施。
HIV 护理质量衡量应更加统一。提出的这些措施为实现这种协调提供了机会。
