da Silva Andressa Wanneska Martins, Meiners Micheline Marie Milward de Azevedo, Noronha Elza Ferreira, de Toledo Maria Inês
Tropical Medicine, Faculty of Medicine, University of Brasília, Brasília, Brazil.
College of Pharmacy, Faculty of Ceilândia, University of Brasília, Brasília, Brazil.
Front Pharmacol. 2019 Feb 27;10:165. doi: 10.3389/fphar.2019.00165. eCollection 2019.
The effectiveness of antiretroviral therapy has rendered HIV infection a manageable chronic condition. Currently, the health systems face the challenge of adopting organizational healthcare models capable of ensuring the delivery of comprehensive care. The Chronic Care Model has been reported for its effectiveness, particularly in terms of delivery system design. In this study, the Assessment of Chronic Illness Care (ACIC) questionnaire, a soft technology widely used for other chronic conditions, was employed on a teaching hospital to evaluate healthcare provided to people living with HIV/AIDS. The ACIC technology is a self-explanatory instrument which diagnoses, among the six components of the Chronic Care Model Framework, areas for quality improvements, indicating at the same time, intervention strategies and achievements. These components are , and From May to October 2014, the tool was applied to the multidisciplinary teamwork at the points of care identified, as well as to the hospital management board. Respondents broadly rated care as basic. A pronounced contrast was observed from evaluation by management board and health professional staff in some components like and The and were the components best evaluated by the multidisciplinary team. Combined with the array of services offered, the entry points available at the hospital can ensure healthcare comprehensiveness. However, some gaps were detected, precluding the delivery of an effective care. The ACIC was considered an adequate technology to provide knowledge of the gaps, to promote productive discussions and reflections within teams and to indicate actions to achieve improvements on healthcare for people living with HIV/AIDS.
抗逆转录病毒疗法的有效性已使艾滋病毒感染成为一种可控制的慢性病。目前，卫生系统面临着采用能够确保提供全面护理的组织化医疗模式的挑战。慢性护理模式因其有效性而被报道，特别是在服务提供系统设计方面。在本研究中，在一家教学医院采用了慢性病护理评估（ACIC）问卷，这是一种广泛用于其他慢性病的软技术，以评估为艾滋病毒/艾滋病感染者提供的医疗服务。ACIC技术是一种无需过多解释的工具，它在慢性护理模式框架的六个组成部分中诊断质量改进的领域，同时指出干预策略和成果。这些组成部分包括……在2014年5月至10月期间，该工具应用于所确定的护理点的多学科团队以及医院管理委员会。受访者普遍将护理评为基本水平。在诸如……等一些组成部分中，管理委员会和卫生专业人员的评估存在明显差异。……是多学科团队评估最好的组成部分。结合医院提供的一系列服务，医院现有的切入点可以确保医疗服务的全面性。然而，发现了一些差距，妨碍了有效护理的提供。ACIC被认为是一种适当的技术，可用于了解差距、促进团队内部富有成效的讨论和反思，并指出为改善艾滋病毒/艾滋病感染者的医疗服务而采取的行动。
