Department of Pediatrics, University of North Carolina at Chapel Hill, 130 Mason Farm Road, Bioinformatics Building, CB# 7229, Chapel Hill, NC 27599, USA.
Department of Pediatrics, University of North Carolina at Chapel Hill, 130 Mason Farm Road, Bioinformatics Building, CB# 7229, Chapel Hill, NC 27599, USA; Department of Epidemiology, University of North Carolina at Chapel Hill, 130 Mason Farm Road, Bioinformatics Building, CB# 7229, Chapel Hill, NC 27599, USA.
Gastroenterol Clin North Am. 2018 Dec;47(4):909-919. doi: 10.1016/j.gtc.2018.07.013. Epub 2018 Sep 28.
Pediatric patients with inflammatory bowel disease (IBD) stand to benefit from quality improvement (QI) due to the chronic nature of the disease, frequent interaction with the health care system, and exposure to high-risk treatments. The use of QI in health care has led to significant improvements in quality and reliability of care. Despite these advances, significant deficits in providing high-quality pediatric IBD care persist. This article describes a brief history of health care QI, identifies gaps and challenges in delivery of quality pediatric IBD care, highlights several IBD QI initiatives, and concludes with future directions for improving pediatric IBD outcomes.
儿科炎症性肠病 (IBD) 患者受益于质量改进 (QI),因为该病具有慢性性质,经常与医疗保健系统互动,并接触高风险的治疗方法。QI 在医疗保健中的应用导致了护理质量和可靠性的显著提高。尽管取得了这些进展,但在提供高质量儿科 IBD 护理方面仍存在重大缺陷。本文描述了医疗保健 QI 的简要历史,确定了提供优质儿科 IBD 护理方面的差距和挑战,强调了几项 IBD QI 计划,并为改善儿科 IBD 结果提出了未来的方向。