ArticleAIDS patient care and STDs2014
Assessing the overall quality of health care in persons living with HIV in an urban environment.
Article in AIDS patient care and STDs, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- "They did not judge me": A Qualitative Study on Patient Satisfaction in Public Primary HIV Care Facilities in Metro Manila, Philippines.Acta medica Philippina · 2025Article
- "Accessibility": A new narrative of healthcare services for people living with HIV in the capital city of Indonesia.Belitung nursing journal · 2021Article
- Antiretroviral Therapy: Racial Disparities among Publicly Insured Californians with HIV.Journal of health care for the poor and underserved · 2017Article
- Human Immunodeficiency Virus (HIV) Quality Indicators Are Similar Across HIV Care Delivery Models.Open forum infectious diseases · 2017Article
- Barriers and facilitators to patient retention in HIV care.BMC infectious diseases · 2015Article
- Comparison of HIV outcomes for patients linked at hospital versus community-based clinics.AIDS patient care and STDs · 2015Article
- Time of HIV Diagnosis and Engagement in Prenatal Care Impact Virologic Outcomes of Pregnant Women with HIV.PloS one · 2015Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
Ensuring high quality primary care for people living with HIV (PLWH) is important. We studied factors associated with meeting Health Resources and Services Administration-identified HIV performance measures, among a population-based sample of 376 PLWH in care at 24 Philadelphia clinics. Quality of care was assessed by a patient-level composite of 15 performance measures, focusing on HIV-specific care, vaccinations, and co-morbid condition screening. Adjusted incidence rate ratios (IRR) demonstrated relationships between patient and clinic factors and the performance measures score. The mean number of measures met was 8.52. Older age groups met more measures than 18- to 29-year-olds (age 40-49: adjusted IRR: 1.19, 95% CI: 1.05-1.35; age ≥50: adjusted IRR: 1.19, 95% CI: 1.03-1.35). Higher CD4 counts were associated with meeting more measures compared to CD4 <200 cells/μL (CD4 350-499 cells/μL: adjusted IRR: 1.14, 95% CI: 1.02-1.28; ≥500 cells/μL: adjusted IRR: 1.12, 95% CI: 1.01-1.26). PLWH attending clinics that provide adherence counseling or case management met more measures (adjusted IRR: 1.12, 95% CI: 1.04-1.21; adjusted IRR: 1.08, 95% CI: 1.02-1.14; respectively) than those attending clinics without these services. Limitations include potentially poor performance measure documentation and equal treatment of measures. Future work should focus on improving compliance with performance measures.
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