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住院医师诊所中的糖尿病肾病筛查:改进也揭示了医疗保健有效性数据与信息集(HEDIS)指标的局限性。

Diabetic Nephropathy Screening in a Residency Clinic: Improvements Also Reveal Limits of Healthcare Effectiveness Data and Information Set (HEDIS) Metric.

作者信息

Curran Rebecca L, Lippman Jason M, Raber Hanna, Gondor Ken, Li Marlana, Fortenberry Katherine T

机构信息

Department of Family and Preventive Medicine, University of Utah, Salt Lake City, UT.

Department of Biomedical Informatics, University of Utah, Salt Lake City, UT.

出版信息

Clin Diabetes. 2020 Jul;38(3):287-290. doi: 10.2337/cd19-0059.

DOI:10.2337/cd19-0059
PMID:32699478
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7364459/
Abstract

Quality Improvement Success Stories are published by the American Diabetes Association in collaboration with the American College of Physicians, Inc., and the National Diabetes Education Program. This series is intended to highlight best practices and strategies from programs and clinics that have successfully improved the quality of care for people with diabetes or related conditions. Each article in the series is reviewed and follows a standard format developed by the editors of . The following article describes a resident-led initiative that improved diabetic nephropathy screening in a primary care clinic. It also highlights the challenges of complex metrics, as well as the potential unintended consequences of emphasizing one dimension of a care process over another.

摘要

《质量改进成功案例》由美国糖尿病协会与美国医师学会和国家糖尿病教育计划合作出版。本系列旨在突出那些成功改善糖尿病患者或相关疾病患者护理质量的项目和诊所的最佳实践与策略。该系列中的每篇文章都经过审核,并遵循由[具体刊物名称]编辑制定的标准格式。以下文章描述了一项由住院医师主导的倡议,该倡议改善了一家初级保健诊所的糖尿病肾病筛查。文章还强调了复杂指标带来的挑战,以及在护理过程中强调一个维度而忽视另一个维度可能产生的意外后果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c819/7364459/4b4778ce8dcf/diaclincd190059f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c819/7364459/4b4778ce8dcf/diaclincd190059f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c819/7364459/4b4778ce8dcf/diaclincd190059f1.jpg

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引用本文的文献

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Getting Ahead: A Resident Led Quality Improvement Project to Increase Diabetic Nephropathy Screening in an Underserved Hispanic-Predominant Population.取得进展:一项由住院医师主导的质量改进项目,旨在增加在以西班牙裔为主的服务不足人群中对糖尿病肾病的筛查。
J Community Hosp Intern Med Perspect. 2022 Nov 7;12(6):1-11. doi: 10.55729/2000-9666.1130. eCollection 2022.

本文引用的文献

1
Rates for HEDIS Screening for Diabetic Nephropathy Quality Measure May Be Overstated.糖尿病肾病质量指标的HEDIS筛查率可能被高估。
Manag Care. 2018 Aug;27(8):45-49.