title: A review of how the quality of HIV clinical services has been evaluated or improved.
abstract: To examine approaches being used to evaluate and improve quality of HIV clinical services we searched the MEDLINE, Cochrane Library collection, EMBASE, Global Health, and Web of Science databases for articles and abstracts focused on evaluating or improving quality of HIV clinical services. We extracted country income level, targeted clinical services, and quality evaluation approaches, data sources, and criteria. Fifty journal articles and 46 meeting abstracts were included. Of the 96 studies reviewed, 65% were programme evaluations, 71% focused on low- and middle-income countries, and 65% focused on antiretroviral therapy services. With regard to quality, 45% used a quality improvement model or programme, 13% set a quality threshold, and 51% examined patient records to evaluate quality. No studies provided a definition for quality HIV care. Quality assurance and improvement of HIV clinical services is increasingly important. This review highlights gaps in knowledge for future research, and may also help countries and programmes develop their HIV care quality improvement frameworks.
authors.affiliation: University of Maryland School of Pharmacy, Baltimore, MD, USA anna.hung@umaryland.edu.
authors.forename: Anna
authors.initials: A
authors.lastname: Hung
authors.affiliation: Pharmaceutical Health Services Research Department, University of Maryland School of Pharmacy, Baltimore, MD, USA.
authors.forename: Françoise
authors.initials: F
authors.lastname: Pradel
mesh_terms: D015658:HIV Infections / Q000188:drug therapy*; D006801:Humans; D015397:Program Evaluation; D011785:Quality Assurance, Health Care; D058996:Quality Improvement
keywords: AIDS; HIV; antiretroviral therapy; programme science; quality; quality improvement; review; treatment