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肝硬化患者的医疗质量

Quality of Care in the Cirrhotic Patient.

作者信息

Volk Michael L, Kanwal Fasiha

机构信息

Division of Gastroenterology, Transplantation Institute, Loma Linda University Health, Loma Linda, California, USA.

Department of Medicine, Baylor College of Medicine, Michael E. DeBakey VA Medical Center, Houston, Texas, USA.

出版信息

Clin Transl Gastroenterol. 2016 Apr 21;7(4):e166. doi: 10.1038/ctg.2016.25.

DOI:10.1038/ctg.2016.25
PMID:27101005
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4855166/
Abstract

Cirrhosis is a common, complex, chronic condition requiring care by multiple specialists in different locations. Emerging data demonstrates limitations in the quality of care these patients receive-in large part due to the problems with care coordination rather than failures of individual providers. This article will discuss approaches for measuring quality, and provide a step-by-step guide for developing quality improvement programs for this patient population.

摘要

肝硬化是一种常见、复杂的慢性疾病,需要不同地点的多名专科医生进行治疗。新出现的数据表明,这些患者所接受的护理质量存在局限性——很大程度上是由于护理协调问题,而非个别医疗服务提供者的失误。本文将讨论衡量质量的方法,并为针对这一患者群体制定质量改进计划提供一份详细指南。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2db/4855166/bf86afd7c866/ctg201625f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2db/4855166/7559607b4efa/ctg201625f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2db/4855166/291a4676711e/ctg201625f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2db/4855166/bf86afd7c866/ctg201625f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2db/4855166/7559607b4efa/ctg201625f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2db/4855166/291a4676711e/ctg201625f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2db/4855166/bf86afd7c866/ctg201625f3.jpg

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引用本文的文献

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Adherence to quality indicators and hospital outcomes for patients with decompensated cirrhosis: An observational study.失代偿期肝硬化患者对质量指标的依从性与医院结局:一项观察性研究。
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本文引用的文献

1
A Quality Improvement Initiative Reduces 30-Day Rate of Readmission for Patients With Cirrhosis.一项质量改进举措降低了肝硬化患者的30天再入院率。
Clin Gastroenterol Hepatol. 2016 May;14(5):753-9. doi: 10.1016/j.cgh.2015.08.041. Epub 2015 Sep 25.
2
Linking a Hepatology Clinical Service Line to Quality Improvement.将肝病临床服务线与质量改进相联系。
Clin Gastroenterol Hepatol. 2015 Aug;13(8):1391-5. doi: 10.1016/j.cgh.2015.05.018.
3
The Epidemiology of Cirrhosis in the United States: A Population-based Study.美国肝硬化的流行病学:一项基于人群的研究。
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BMC Health Serv Res. 2020 Jun 18;20(1):558. doi: 10.1186/s12913-020-05427-8.
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Quality improvement initiative increases total paracentesis and early paracentesis rates in hospitalised cirrhotics with ascites.质量改进举措提高了住院腹水肝硬化患者的腹腔穿刺总次数和早期腹腔穿刺率。
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JMIR Med Inform. 2019 Jul 3;7(3):e13627. doi: 10.2196/13627.
7
Improving Quality of Care in Patients with Liver Cirrhosis.改善肝硬化患者的医疗质量。
Middle East J Dig Dis. 2017 Oct;9(4):189-200. doi: 10.15171/mejdd.2017.73.
8
Healthcare utilization after liver transplantation is highly variable among both centers and recipients.肝移植后医疗利用在中心和受者之间具有高度变异性。
Am J Transplant. 2018 May;18(5):1197-1205. doi: 10.1111/ajt.14539. Epub 2017 Nov 17.
9
Strategies to Reduce 30-Day Readmissions in Patients with Cirrhosis.降低肝硬化患者30天再入院率的策略。
Curr Gastroenterol Rep. 2017 Jan;19(1):1. doi: 10.1007/s11894-017-0543-3.
J Clin Gastroenterol. 2015 Sep;49(8):690-6. doi: 10.1097/MCG.0000000000000208.
4
Variation among United States hospitals in inpatient mortality for cirrhosis.美国各医院肝硬化患者住院死亡率的差异。
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5
Early detection, curative treatment, and survival rates for hepatocellular carcinoma surveillance in patients with cirrhosis: a meta-analysis.肝硬化患者肝细胞癌监测的早期检测、治愈治疗和生存率:一项荟萃分析。
PLoS Med. 2014 Apr 1;11(4):e1001624. doi: 10.1371/journal.pmed.1001624. eCollection 2014 Apr.
6
Consequences of perceived stigma among patients with cirrhosis.肝硬化患者感知到的耻辱感的后果。
Dig Dis Sci. 2014 Mar;59(3):681-6. doi: 10.1007/s10620-013-2942-0. Epub 2013 Nov 19.
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Systematic bias in surgeons' predictions of the donor-specific risk of liver transplant graft failure.外科医生对肝移植移植物失败的供体特异性风险预测中的系统偏差。
Liver Transpl. 2013 Sep;19(9):987-90. doi: 10.1002/lt.23683. Epub 2013 Aug 13.
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Underestimation of liver-related mortality in the United States.美国对与肝脏相关的死亡率的低估。
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How to improve care in outpatients with cirrhosis and ascites: a new model of care coordination by consultant hepatologists.如何改善肝硬化和腹水门诊患者的护理:顾问肝病学家提供的新型护理协调模式。
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