QUALITY AND MONITORING OF THE SPECIALIZED OUTPATIENT SERVICE OFFERED TO PEOPLE LIVING WITH HIV/AIDS
DOI:
https://doi.org/10.21527/2176-7114.2020.40.275-282Keywords:
HIV, Ambulatory care, QualityAbstract
The objective of the present study was to verify the quality of care provided to people living with HIV (PLHIV), offered by a Specialized Unit (SU) under the management of the municipality and a Specialized Service (SS) under federal management, located in a country town in state of Rio Grande do Sul. The Qualiaids questionnaire aims to assess and monitor the organization of SUS health services that accompany the treatment of HIV infection. Access to data on responses of US and SS services to the questionnaire in the year of 2017, was obtained after formal request to Research Team Qualiaids. Thus, a descriptive study was carried out, verifying the responses related to each dimension. The indicators that qualify the care provided to HIV patients were selected, checking which aspects had the greatest difficulty in each service, without having the objective of comparing them, as they are at different levels in the care network. Both services highlighted as a managerial difficulty the accumulation of function and the little integration between primary care and specialized service. The US presented 13.9% of absences in the scheduled medical consultations and the SS 19%, with satisfactory assistance, mainly in relation to adherence to antiretroviral therapy (ART), an important factor to achieve national goals 90-90-90 (diagnosis, treatment and viral suppression). The systematic assessment of adherence to ART associated with the sharing of care are fundamental factors for comprehensive care for PLHIV
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