Cover: Quality-of-care issues for HIV illness: clinical and health services  research

Quality-of-care issues for HIV illness: clinical and health services research

Published 1990

by David E. Kanouse, W. Christopher Mathews, Charles Bennett

Purchase Print Copy

 Format Price
Add to Cart Paperback11 pages $20.00

Research on the quality of medical care is needed for evaluating both the quality of medical care and its cost. Quality-of-care research for human immunodeficiency virus (HIV) illness is complicated by several factors, including the multiplicity of clinical manifestations, diversity of affected populations, rapid changes in modified natural history and in treatment approaches, and problems of access to care. Researchable questions can be formulated by identifying sizable subgroups of patients that are relatively homogeneous with respect to risk of adverse outcomes and issues of clinical management. Four such groups are patients with early HIV disease, patients with major opportunistic infections, patients with acquired immunodeficiency syndrome dementia complex, and patients in the terminal stages of illness. For each group, the major research issues concern the appropriate settings, resources, and processes of care and the relevant outcomes, adjustors, and sources of data. Because specific therapies are still undergoing rapid change, research on processes of care that are likely to be important across a range of specific therapies may yield results that are more robust over time. A focus on defined systems of care and on episodes of care that encompass both inpatient and outpatient management may offer a better picture of quality of care than that provided by studying only the inpatient phase of care.

This report is part of the RAND paper series. The paper was a product of RAND from 1948 to 2003 that captured speeches, memorials, and derivative research, usually prepared on authors' own time and meant to be the scholarly or scientific contribution of individual authors to their professional fields. Papers were less formal than reports and did not require rigorous peer review.

This document and trademark(s) contained herein are protected by law. This representation of RAND intellectual property is provided for noncommercial use only. Unauthorized posting of this publication online is prohibited; linking directly to this product page is encouraged. Permission is required from RAND to reproduce, or reuse in another form, any of its research documents for commercial purposes. For information on reprint and reuse permissions, please visit www.rand.org/pubs/permissions.

RAND is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.