Division of Rheumatology, Rush University Medical Center, 1611 West Harrison Street, Suite 510, Chicago, IL 60612, USA.
Division of Rheumatology, University of California, San Francisco, 1001 Potrero Avenue, Suite 3300, San Francisco, CA 94110, USA.
Rheum Dis Clin North Am. 2020 Nov;46(4):623-638. doi: 10.1016/j.rdc.2020.07.003. Epub 2020 Sep 9.
Assessment of quality of care for people with systemic lupus erythematosus (SLE) provides opportunities to identify gaps in health care and address disparities. Poor access to specialty care has been shown to negatively impact care in SLE and is associated with poor disease outcomes. Racial/ethnic minorities and those with low socioeconomic status are at higher risk for poor access and lower quality of care. Quality measures evaluating processes of care have shown significant deficiencies in care of SLE patients across studies. High SLE patient volume correlates with better quality of care for providers in hospital and ambulatory settings.
系统性红斑狼疮(SLE)患者的医疗护理质量评估为发现医疗保健差距和解决差异提供了机会。研究表明,接受专业护理的机会较差会对 SLE 患者的护理产生负面影响,并与较差的疾病结果相关。少数民族和社会经济地位较低的人群获得护理的机会较差,护理质量也较低。评估护理过程的质量指标表明,SLE 患者的护理在各研究中均存在显著不足。在医院和门诊环境中,高 SLE 患者量与提供者的高质量护理相关。