Closing the gap in implementation of HIV clinical guidelines in a low resource setting using electronic medical records.

ABSTRACT:

Background

Universal health coverage promises equity in access to and quality of health services. However, there is variability in the quality of the care (QoC) delivered at health facilities in low and middle-income countries (LMICs). Detecting gaps in implementation of clinical guidelines is key to prioritizing the efforts to improve quality of care. The aim of this study was to present statistical methods that maximize the use of existing electronic medical records (EMR) to monitor compliance with evidence-based care guidelines in LMICs.

Methods

We used iSanté, Haiti's largest EMR to assess adherence to treatment guidelines and retention on treatment of HIV patients across Haitian HIV care facilities. We selected three processes of care - (1) implementation of a 'test and

SUBMITTER: Allorant A 

PROVIDER: S-EPMC7449080 | biostudies-literature | 2020 Aug

REPOSITORIES: biostudies-literature