Department of Health Information and Decision Sciences, Faculty of Medicine, University of Porto, Al, Prof, Hernâni Monteiro, Porto, 4200-319, Portugal.
BMC Health Serv Res. 2013 Jun 28;13:236. doi: 10.1186/1472-6963-13-236.
Several organizations and individual authors have been proposing quality indicators for the assessment of clinical care in HIV/AIDS patients. Nevertheless, the definition of a consensual core set of indicators remains controversial and its practical use is largely limited. This study aims not only to identify and characterize these indicators through a systematic literature review but also to propose a parsimonious model based on those most used.
MEDLINE, SCOPUS, Cochrane databases and ISI Web of Knowledge, as well as official websites of organizations dealing with HIV/AIDS care, were searched for articles and information proposing HIV/AIDS clinical care quality indicators. The ones that are on patient's perspective and based on services set were excluded. Data extraction, using a predefined data sheet based on Cochrane recommendations, was done by one of the authors while a second author rechecked the extracted data for any inconsistency.
A total of 360 articles were identified in our search query but only 12 of them met the inclusion criteria. We also identified one relevant site. Overall, we identified 65 quality indicators for HIV/AIDS clinical care distributed as following: outcome (n=15) and process-related (n=50) indicators; generic (n=36) and HIV/AIDS disease-specific (n=29) indicators; baseline examinations (n=19), screening (n=9), immunization (n=4), prophylaxis (n=5), HIV monitoring (n=16), and therapy (=12) indicators.
There are several studies that set up HIV clinical care indicators, with only a part of them useful to assess the HIV clinical care. More importantly, HIV/AIDS clinical care indicators need to be valid, reliable and most of all feasible.
一些组织和个人作者一直在为评估 HIV/AIDS 患者的临床护理提出质量指标。然而，共识核心指标集的定义仍存在争议，其实际应用在很大程度上受到限制。本研究旨在通过系统文献回顾不仅识别和描述这些指标，还提出一个基于最常用指标的简化模型。
检索 MEDLINE、SCOPUS、Cochrane 数据库和 ISI Web of Knowledge，以及处理 HIV/AIDS 护理的组织的官方网站，以查找提出 HIV/AIDS 临床护理质量指标的文章和信息。排除了基于患者视角和服务设置的指标。使用基于 Cochrane 建议的预定义数据表进行数据提取，由一位作者完成，而另一位作者则对提取的数据进行复查，以检查是否存在不一致。
我们的搜索查询共确定了 360 篇文章，但只有 12 篇符合纳入标准。我们还确定了一个相关网站。总的来说，我们确定了 65 项 HIV/AIDS 临床护理质量指标，分布如下：结局（n=15）和过程相关指标（n=50）；通用（n=36）和 HIV/AIDS 疾病特异性指标（n=29）；基线检查（n=19）、筛查（n=9）、免疫接种（n=4）、预防（n=5）、HIV 监测（n=16）和治疗（n=12）指标。
有许多研究设定了 HIV 临床护理指标，但只有一部分指标可用于评估 HIV 临床护理。更重要的是，HIV/AIDS 临床护理指标需要有效、可靠，最重要的是可行。
