Seo Geom Seog
Department of Internal Medicine, Digestive Disease Research Institute, Wonkwang University College of Medicine, Iksan, Korea.
Korean J Gastroenterol. 2015 Mar;65(3):139-44. doi: 10.4166/kjg.2015.65.3.139.
Since inflammatory bowel disease (IBD) is a chronic and relapsing disorder, maintaining high quality of care plays an important role in the management of patients with IBD. To develop process-based quality indicator set to improve quality of care, the indicator should be based directly on evidence and consensus. Initially, ImproveCareNow group demonstrated quality improvement by learning how to apply quality improvement methods to improve the care of pediatric patients with IBD. The American Gastroenterological Association has developed adult IBD physician performance measures set and Crohn's and Colitis Foundation of America (CCFA) has developed a set of ten most highly rated process and outcome measures. Recently, The Emerging Practice in IBD Collaborative (EPIC) group generated defining quality indicators for best-practice management of IBD in Canada. Quality of Care through the Patient's Eyes (QUOTE-IBD) was developed as a questionnaire to measure quality of care through the eyes of patients with IBD, and it is widely used in European countries. The current concept of quality of care as well as quality indicator will be discussed in this article.
由于炎症性肠病(IBD)是一种慢性复发性疾病,维持高质量的护理在IBD患者的管理中起着重要作用。为了制定基于过程的质量指标集以提高护理质量,该指标应直接基于证据和共识。最初,ImproveCareNow小组通过学习如何应用质量改进方法来改善IBD儿科患者的护理,展示了质量改进。美国胃肠病学会制定了成人IBD医生绩效指标集,美国克罗恩病和结肠炎基金会(CCFA)制定了一套十个评分最高的过程和结果指标。最近,IBD协作新兴实践(EPIC)小组为加拿大IBD的最佳实践管理生成了定义性质量指标。通过患者视角的护理质量(QUOTE-IBD)是作为一种通过IBD患者视角来衡量护理质量的问卷而开发的,并且在欧洲国家广泛使用。本文将讨论当前的护理质量概念以及质量指标。