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Avaliação dos serviços ambulatoriais de assistência a pessoas vivendo com HIV no Sistema Único de Saúde: estudo comparativo 2007/2010. / Avaliação dos serviços ambulatoriais de assistência a pessoas vivendo com HIV no Sistema Único de Saúde: estudo comparativo 2007/2010. / Evaluation of outpatient services in the Brazilian Unified National Health System for persons living with HIV: a comparison of 2007 and 2010.

Loch, Ana Paula; Nemes, Maria Ines Battistella; Santos, Maria Altenfelder; Alves, Ana Maroso; Melchior, Regina; Basso, Cáritas Relva; Caraciolo, Joselita Maria de Magalhães; Alves, Maria Teresa Seabra Soares de Britto E; Castanheira, Elen Rose Lodeiro; Carvalho, Wania Maria do Espírito Santo; Kehrig, Ruth Terezinha; Monroe, Aline Aparecida.
Cad Saude Publica; 34(2): e00047217, 2018 02 19.
Artigo em Inglês, Português | MEDLINE | ID: mdl-29489944
Health services play a crucial role in reaching the 90-90-90 target of controlling the HIV epidemic. This study evaluates the organization of Brazilian health services in improving, monitoring, and retention in HIV care and adherence support. Percentage variation (PV) was used to compare the responses by services to an evaluation questionnaire on organizational quality (Qualiaids) in 2007 and 2010. The study analyzed the 419 services that completed the questionnaire in 2007 (83.1% of respondents) and 2010 (63.6%). Management actions of retention and support although increased in the period, but remained at low rates, for example: systematic meetings for case discussion (32.7% in 2010; PV = 19.8%) and recording of missed medical appointments (35.3%; PV = 36.8%). Patient care actions related to adherence to ART remained largely exclusive to the attending physician. The supply of funds and resources from the Federal Government (medicines and specific HIV tests) remained high for the vast majority of the services (~90%). It will not be possible to achieve a significant decrease in HIV transmission as long as retention in treatment is not a priority in all the health services.