To the Editor: The focus of HIV clinical care has shifted since the advent of potent antiretroviral therapy (ART). This change is characterised by a reduction in HIV-specific morbidities, an increase in HIV non-specific comorbidities,1,2 and an accompanying lack of clinician confidence in managing these comorbidities.3 The measurement of key performance indicators (KPIs) is useful for monitoring and improving clinical performance, but it is yet to be widely adopted in HIV clinics in Australia.4
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- 1. Palella FJ Jr, Delaney KM, Moorman AC, et al. Declining morbidity and mortality among patients with advanced human immuno-deficiency virus infection. HIV Outpatient Study Investigators. N Engl J Med 1998; 338: 853-860.
- 2. Palella FJ Jr, Baker RK, Moorman AC, et al. Mortality in the highly active antiretroviral therapy era: changing causes of death and disease in the HIV outpatient study. J Acquir Immune Defic Syndr 2006; 43: 27-34.
- 3. Forrester J. Queensland HIV models of care 2008. http://www.health.qld.gov.au/sexhealth/documents/qhivmodcare08.pdf (accessed Jan 2012).
- 4. Harris M, Kidd M, Snowdon T. New models of primary and community care to meet the challenges of chronic disease prevention and management: a discussion paper for NHHRC. http://www.health.gov.au/internet/nhhrc/publishing.nsf/Content/16F7A93D8F578DB4CA2 574D7001830E9/$File/New%20Models%20 of%20Primary%20and%20Community%20Care%20Final%20(M%20Harris%20M%20Kidd%20T%20Snowden).pdf (accessed Aug 2012).
- 5. Queensland Health. 2010 HIV/AIDS report: epidemiology and surveillance. www.health.qld. gov.au/sexhealth/documents/hivaidsannual report.pdf (accessed Jan 2012).
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