title: HIV/AIDS Indicators for Clinical Care Quality Assessment: Relevance and Utility Assessed by Health Professionals.
abstract: BACKGROUND
  After conducting a systematic review of quality indicators for assessing HIV/AIDS clinical care, we aimed to assess the clinical relevance and practice utility of those indicators from the point of view of HIV/AIDS physician experts.
  
  
  METHODS
  This is an observational, cross-sectional study, in which we selected, by convenience, physicians who work in an Infectious Disease Department of a central hospital to complete two questionnaires with a core set of indicators to establish the most relevant and useful indicators for assessment of the clinical HIV/AIDS care. A Likert scale was used to rank the indicators.
  
  
  RESULTS
  Eleven of thirteen physicians filled two questionnaires. From the initial list of 53 quality indicators, 21 were identified as the most relevant and useful in HIV/AIDS clinical care. The internal consistency for clinical relevance in each indicators domain was for clinical signs and symptoms (p = 0.971), for therapy (p = 0.900), for prognosis (p = 0.820) and diagnosis (p = 0.733) and for practice utility were diagnosis (p = 0.934), clinical signs (p = 0.964), laboratory examinations (p = 0.947), therapy (p = 0.583) and prognosis (p = 0.368).
  
  
  CONCLUSIONS
  In the process of assessing the clinical relevance and practice utility of HIV/AIDS quality care indicators, it was found that the majority of physicians agreed that diagnosis and clinical symptoms and signs indicators domains are the most important for assessing the quality of care for HIV/AIDS patients.
  
  
  CONCLUSIONS
  This instrument should be considered as a diagnostic tool, allowing hospital administrators to identify if HIV/AIDS care is properly delivered or needs improvement.
authors.affiliation: Department of Health Information and Decision Sciences. Faculty of Medicine. University of Porto. Porto. Department of Pathology. Faculty of Medicine. Universidade Agostinho Neto. Luanda. Angola. Center for Research in Health Technologies and Information Systems. University of Porto. Porto.
authors.forename: Emanuel Castro Cassoco
authors.initials: EC
authors.lastname: Catumbela
authors.affiliation: Department of Health Information and Decision Sciences. Faculty of Medicine. University of Porto. Porto. Center for Research in Health Technologies and Information Systems. University of Porto. Porto. Portugal.
authors.forename: Cristina
authors.initials: C
authors.lastname: Santos
authors.affiliation: Department of Health Information and Decision Sciences. Faculty of Medicine. University of Porto. Porto. Center for Research in Health Technologies and Information Systems. University of Porto. Porto. Portugal.
authors.forename: Alberto
authors.initials: A
authors.lastname: Freitas
authors.affiliation: Secção de Saúde Pública e Organizações de Saúde. Escola Nacional de Saúde Pública. Universidade NOVA de Lisboa. Lisboa. Portugal.
authors.forename: Carlos
authors.initials: C
authors.lastname: Costa
authors.affiliation: Department of Infectious Diseases. Faculty of Medicine. University of Porto. Porto. Portugal.
authors.forename: António
authors.initials: A
authors.lastname: Sarmento
authors.affiliation: Department of Health Information and Decision Sciences. Faculty of Medicine. University of Porto. Porto. Center for Research in Health Technologies and Information Systems. University of Porto. Porto. Portugal.
authors.forename: Altamiro
authors.initials: A
authors.lastname: Costa Pereira
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000628:therapy; D001291:Attitude of Health Personnel; D003430:Cross-Sectional Studies; D015658:HIV Infections / Q000628:therapy*; D019538:Health Care Surveys; D006801:Humans; D011785:Quality Assurance, Health Care; D019984:Quality Indicators, Health Care