Yadlapati Rena, Dakhoul Lara, Pandolfino John E, Keswani Rajesh N
Division of Gastroenterology and Hepatology, Northwestern University Feinberg School of Medicine, 676 North St. Clair St. Suite 1400, Chicago, IL, 60611, USA.
Chicago/Advocate Christ Medical Center, University of Illinois, Oak Lawn, IL, USA.
Dig Dis Sci. 2017 Mar;62(3):569-576. doi: 10.1007/s10620-016-4409-6. Epub 2016 Dec 27.
Improving the quality of healthcare delivery is a cornerstone of modern medical care shared between all stakeholders. However, effectively improving quality requires both an understanding of the tenets of healthcare quality and how they relate to an individual disease process. This is especially important for common diseases, such as gastroesophageal reflux disease (GERD), where wide variations in practice exist. The high prevalence of GERD coupled with wide variation in clinical approach results in significant economic burden and poor quality of care. Thus, GERD serves as a useful framework to highlight the opportunities and current challenges of delivering high-quality care. In this article, we identify quality metrics in GERD and the areas in need of research to improve the quality of the management of GERD. Additionally, we suggest strategies for improvement as it relates to the proper diagnostic testing utilization and the decision-making process.
提高医疗服务质量是所有利益相关者共同关注的现代医疗的基石。然而，有效提高质量既需要理解医疗质量的原则，也需要理解这些原则与个体疾病过程的关系。这对于常见疾病，如胃食管反流病（GERD）尤为重要，因为在GERD的治疗实践中存在很大差异。GERD的高患病率加上临床治疗方法的广泛差异，导致了巨大的经济负担和较差的医疗质量。因此，GERD是一个有用的框架，可用于突出提供高质量医疗服务的机会和当前面临的挑战。在本文中，我们确定了GERD的质量指标以及需要开展研究以提高GERD管理质量的领域。此外，我们还提出了与正确使用诊断测试和决策过程相关的改进策略。
