Jackson Belinda D, De Cruz Peter
Department of Gastroenterology, The Austin Hospital, Melbourne, Australia.
Department of Medicine, Austin Academic Centre, University of Melbourne, Melbourne, Australia.
Inflamm Bowel Dis. 2019 Feb 21;25(3):479-489. doi: 10.1093/ibd/izy276.
The rising burden of inflammatory bowel disease (IBD) has the potential to have a negative impact on the quality of care delivered to patients with IBD. Quality of care has been described by the World Health Organization as "the extent to which health care services provided to individuals and patient populations improve desired health outcomes." Variation in care has been identified as a key barrier to achieving quality of care in IBD. Assessment of quality of care attempts to minimize variation in care. Quality indicators have been developed in IBD as a minimum standard of care according to evidence-based guidelines. Models of care to achieve and maintain quality include integrated care, participatory care, and value-based health care. In this review, we outline current approaches to the assessment of quality of care in IBD and explore models of care currently being used to achieve and maintain quality.
炎症性肠病（IBD）负担的不断增加有可能对IBD患者的护理质量产生负面影响。世界卫生组织将护理质量描述为“提供给个人和患者群体的医疗保健服务在多大程度上改善了预期的健康结果”。护理差异已被确定为IBD实现护理质量的关键障碍。护理质量评估旨在尽量减少护理差异。根据循证指南，IBD已制定了质量指标作为最低护理标准。实现和维持质量的护理模式包括综合护理、参与式护理和基于价值的医疗保健。在本综述中，我们概述了IBD护理质量评估的当前方法，并探讨了目前用于实现和维持质量的护理模式。
