Division of Gastroenterology, Department of Pediatrics, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Am J Gastroenterol. 2011 Jul;106(7):1182-7. doi: 10.1038/ajg.2011.118.
The Institute of Medicine's publications To Err Is Human and Crossing the Quality Chasm publicized the widespread deficits in health-care quality. The quality of care for digestive diseases has not been evaluated comprehensively, although emerging literature suggests that the gap between recommended care and actual practice may be quite substantial. This paper reviews the history of, the rationale behind, and current work related to quality of care and quality improvement in the area of digestive diseases, with particular attention to colonoscopy, inflammatory bowel diseases, gastroesophageal reflux disease, chronic hepatitis C virus infection, and liver transplantation.
医学研究所的出版物《犯错是人之所为》和《跨越质量鸿沟》宣传了医疗质量的广泛缺陷。尽管新出现的文献表明，推荐的护理与实际实践之间的差距可能相当大，但消化系统疾病的护理质量尚未得到全面评估。本文回顾了消化系统疾病领域的护理质量和质量改进的历史、背后的原理和当前的工作，特别关注结肠镜检查、炎症性肠病、胃食管反流病、慢性丙型肝炎病毒感染和肝移植。
