Quality Evaluation of HIV/AIDS patients care service by HIVQUAL-T program, Office of Disease Control and Prevention 7, Ubon Ratchatani

Abstract

The purposes of this research were to evaluate quality in HIV/AIDS patients care service of hospitals by HIVQUAL-T program and to study effectiveness of HIPQUAL-T program. The area study was responsibility area of Office of Disease Control and Prevention 7, Ubon Ratchatani. The study was involved with 2 populations consist of 1) evaluated patients treat qualification groups: all hospitals that sent data to Department of Prevention and Control Disease 7, Ubon Ratchatani in 2549 and 2550 years. 2) effective evaluation of HIVQUAL-T program groups: HIVQUAL-T program responsibility persons in hospitals by purposive selection. The HIVQUAL-T report and structural interview had been used as a research instrument. Percentage, mean percentage and content analysis were used as tools for data analysis. The result of the research were as follows: 1) The evaluation of HIV/AIDS patients care service by HIVQUAL-T program. The holistic performance in 10 indicators found that percentage of patients care service in 2549 was lower than 2550, they shown 71.67 and 79.40 percent in order. The performance comparison between 2550 and planning target found 7 indicators pass lower planning target: percentage of the patients who checked CD4 in 1 time a year, percentage of patients who received anti virus medicines and VL checking 1 time at less, percentage of patients who had indicator and got PCP, percentage of patients who had indicator and got Cryptococcosis prevention medicines, percentage of patients who got adherence follow up, percentage of patients who had not history sickness or TB treat got TB screening and percentage of patients who received information/consultant about safe sex. The result found 3 indicators had lower performance percent than planning target: percentage of patients who checked CD4 in 2 times a year, percentage of patients that appropriated to got medicine received medicines and percentage of woman patients who had PAP smear checking. 2) The effectiveness of HIVQUAL-T program Before HIVQUAL-T program using found that most of hospitals had normal care service for patients, indicators to care and services, planning target, evaluative system were not clear. The performance of some hospitals depended on leader policy. After HIVQUAL-T program using found that HIVQUAL-T program made a good system and effective for patients care service. Some problems and obstacles of patients care service cause from HIVQUAL-T program, data report, persons and processing. The important indicators to solve and to develop were: PAP smear checking in woman patients, VL checking 2 times a year CD4 checking because these indicators had low percent in performance.