Título :	The use of assessment of chronic illness care technology to evaluate the institutional capacity for HIV/AIDS management
Autor :	Silva, Andressa Wanneska Martins da Meiners, Micheline Marie Milward Noronha, Elza Ferreira Toledo, Maria Inês de
Assunto::	Doenças crônicas - qualidade da assistência à saúde Serviços de saúde pública AIDS (Doenças)
Fecha de publicación :	2019
Editorial :	Frontiers
Citación :	SILVA, Andressa Wanneska Martin da et al. The use of assessment of chronic illness care technology to evaluate the institutional capacity for HIV/AIDS management. Frontiers Pharmacology, v. 10, article 165. DOI: 10.3389/fphar.2019.00165. Disponível em: https://www.frontiersin.org/articles/10.3389/fphar.2019.00165/full. Acesso em: 01 abr. 2019.
Abstract:	The effectiveness of antiretroviral therapy has rendered HIV infection a manageable chronic condition. Currently, the health systems face the challenge of adopting organizational healthcare models capable of ensuring the delivery of comprehensive care. The Chronic Care Model has been reported for its effectiveness, particularly in terms of delivery system design. In this study, the Assessment of Chronic Illness Care (ACIC) questionnaire, a soft technology widely used for other chronic conditions, was employed on a teaching hospital to evaluate healthcare provided to people living with HIV/AIDS. The ACIC technology is a self-explanatory instrument which diagnoses, among the six components of the Chronic Care Model Framework, areas for quality improvements, indicating at the same time, intervention strategies and achievements. These components are healthcare network organization, delivery system design, selfmanagement support, decision support, clinical information systems, and community. From May to October 2014, the tool was applied to the multidisciplinary teamwork at the points of care identified, as well as to the hospital management board. Respondents broadly rated care as basic. A pronounced contrast was observed from evaluation by management board and health professional staff in some components like organization of healthcare and clinical information system. The self-management support and delivery system design were the components best evaluated by the multidisciplinary team. Combined with the array of services offered, the entry points available at the hospital can ensure healthcare comprehensiveness. However, some gaps were detected, precluding the delivery of an effective care. The ACIC was considered an adequate technology to provide knowledge of the gaps, to promote productive discussions and reflections within teams and to indicate actions to achieve improvements on healthcare for people living with HIV/AIDS.
Licença::	Copyright © 2019 Silva, Meiners, Noronha and Toledo. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
DOI:	https://dx.doi.org/10.3389/fphar.2019.00165
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