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QUOTE-HIV: an instrument for assessing quality of HIV care from the patients’ perspective
  1. C F Hekkink1,
  2. H J Sixma3,
  3. L Wigersma4,
  4. C J Yzermans3,
  5. J T M van der Meer2,
  6. P J E Bindels1,
  7. K Brinkman5,
  8. S A Danner6
  1. 1Division of Clinical Methods & Public Health, Department of General Practice, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
  2. 2Division of Infectious Diseases, Tropical Medicine and AIDS, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
  3. 3Netherlands Institiute for Health Services Research (NIVEL), Utrecht, The Netherlands
  4. 4Royal Dutch Medical Association, Utrecht, The Netherlands
  5. 5Department of Internal Medicine, Onze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands
  6. 6Department of Internal Medicine, VU Medical Centre, Amsterdam, The Netherlands
  1. Correspondence to:
 C F Hekkink, Academic Medical Center, University of Amsterdam, Department of General Practice, PO Box 22660, 1100 DE Amsterdam, The Netherlands; 


Background: An HIV-specific version of the QUOTE questionnaire was developed to measure the quality of care of patients infected with HIV from the patients’ perspective. The consistency and validity of the questionnaire was assessed.

Methods: Focus group discussions were held to select aspects for inclusion in the questionnaire that are important to patients with HIV. Item and inter-item analysis, factor analysis, and reliability analysis were performed to test the internal consistency and validity of the questionnaire.

Results: Twenty seven items (13 generic and 14 HIV specific) were used in the QUOTE-HIV questionnaire. Separate factor analyses of the generic and HIV specific aspects indicated that each loaded onto a single factor. The internal consistency of the total questionnaire was good (Cronbach’s alpha ≥0.80). Feasibility of the questionnaire was shown by the diversity of importance and performance scores for general practitioners as well as for HIV specialists and AIDS nursing consultants.

Conclusion: The QUOTE-HIV questionnaire is a useful instrument for measuring the quality of care from the perspective of HIV infected patients.

  • HIV
  • quality of care
  • QUOTE-HIV questionnaire
  • patients’ perspective

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