Abstract
Ensuring comprehensive quality HIV and primary care is critical for effective HIV management. This study evaluates the impact of long-term engagement in a quality management (QM) initiative on performance measures. HIVQUAL-US is a federally-funded program to build clinic QM capacity to improve care for people living with HIV/AIDS. Forty-five facilities with four or more years of HIVQUAL-US performance measurement between 2002 and 2009 were included. Composite quality scores were constructed for HIV care, primary care and overall quality. Unadjusted analyses showed significant improvements in HIV care (76.2% to 88.8%, p<.0001), primary care (65.7% to 71.4%, p<.05) and overall (70.6% to 79.6%, p<.0001). Improvement was higher among clinics performing in the lowest quartile. Adjusting for clinic factors, the probability of improvement increased with each additional year of data submission for all scores. Engagement in a QM capacity building program was associated with continuing improvement in quality of HIV and primary care.
Original language | English (US) |
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Pages (from-to) | 67-80 |
Number of pages | 14 |
Journal | Journal of health care for the poor and underserved |
Volume | 23 |
Issue number | 3 SUPPL |
DOIs | |
State | Published - Aug 2012 |
Keywords
- HIV
- Quality management
- Quality of care
- United States health resources and services administration
ASJC Scopus subject areas
- Public Health, Environmental and Occupational Health