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Improve HIV care quality using quality of life measures

Research shows that using patient-reported outcome measures (PROMs) can help improve HIV care quality and patient outcomes.

PozQoL is a PROM that was designed specifically:

  • to be relevant for people with HIV, and
  • to be short and easy enough for clinicians and other service providers to use in day-to-day practice.

Using PROMs (such as PozQoL) in with patients and clients helps service providers:

  • make their practice more person centred;
  • make better decisions,
  • recognise symptoms,
  • improve patient-clinician communication,
  • identify and address problems related to quality of life,
  • better understand patient experiences of HIV treatment,
  • identify areas of concern when working with individual patients or clients, and
  • focus on and address the patient’s current needs.

PROM results from multiple people can also help services to:

  • monitor client wellbeing,
  • measure changes in quality of life over time, and
  • evaluate the impact of their programs and interventions

This information can, in turn, inform structural and service-level changes, such as:

  • better resource allocation and efficiency,
  • development of more targeted programs and services, and
  • quality-improvement decisions.

Person-centred values are increasingly important in HIV care

“Keeping people healthy and alive through person-centred and holistic care” is one of the World Health Organization’s critical areas for fast-track action in their Global Health Sector Strategy on HIV.

As people grow older, their care needs change. Improved HIV treatments mean more people with HIV are living longer, healthier lives. It also means that there are fewer new transmissions. As a result, the population of people with HIV is ageing.

Increasingly, people ageing with HIV will need access to integrated, holistic, person-centred care. They will not only need their HIV-related needs met. They will also need services that can meet the wide range of health-related needs of any diverse, ageing population.

Moreover, services that do not specialise in HIV care — for example the aged care sector — will need to be able to provide high quality care to older people living with HIV without stigma or judgement.

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