Quality of Comprehensive HIV Care in Underserved Communities
- 25 June 2012
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in American Journal of Medical Quality
- Vol. 28 (2), 143-150
- https://doi.org/10.1177/1062860612453756
Abstract
The AIDS Education and Training Centers National Evaluation Center led collaborative research to evaluate whether Minority AIDS Initiative (MAI)-funded clinical training changes clinical practice. Chart abstraction and feedback (34 clinics; n = 530) were used to assess adherence to clinical practice guidelines, identify training needs, and assess change in clinical practice (14 clinics, n = 271). Generalized estimating equations were used to account for repeated measures within each clinic. At baseline, clinics displayed 49% (95% confidence interval [CI] = 44-53) adherence to clinical practice guidelines. After feedback associated with the baseline chart review and subsequent implementation of MAI-funded clinical training, an 11% increase (95% CI = 7-16) in adherence to clinical practice guidelines was observed. MAI-funded clinical training was associated with increased adherence to clinical practice guidelines for HIV care. Chart abstraction is useful to assess clinical practice, facilitate conversations about quality improvement, and evaluate the effectiveness of clinical training.Keywords
This publication has 11 references indexed in Scilit:
- Assessing Quality of Primary Care Provided to the HIV-Infected Ryan White Population in the Baltimore Eligible Metropolitan AreaAmerican Journal of Medical Quality, 2008
- Audit and feedback and clinical practice guideline adherence: Making feedback actionableImplementation Science, 2006
- What Is Capacity Building? Lessons from a National Demonstration Program of HIV Education for Social Service ProvidersJournal of HIV/AIDS & Social Services, 2005
- Development and Implementation of a Quality Improvement Program for Ryan White Title I Care Services Using a Stakeholder-Based ModelAIDS Patient Care and STDs, 2005
- Implementing evidence‐based guidelines: inpatient management of chronic obstructive pulmonary diseaseInternal Medicine Journal, 2005
- Randomised controlled trial of the effectiveness of feedback in improving test ordering in general practiceScandinavian Journal of Primary Health Care, 2003
- Audit and feedback: effects on professional practice and health care outcomesPublished by Wiley ,2003
- About time: diagnostic guidelines that help cliniciansQuality and Safety in Health Care, 2003
- Successes and Failures in the Implementation of Evidence-Based Guidelines for Clinical PracticeMedical Care, 2001
- Do clinical guidelines introduced with practice based education improve care of asthmatic and diabetic patients? A randomised controlled trial in general practices in east LondonBMJ, 1995