Achieving best outcomes for patients with cardiovascular disease in China by enhancing the quality of medical care and establishing a learning health-care system

被引:84
作者
Jiang, Lixin [1 ,2 ]
Krumholz, Harlan M. [3 ,4 ,5 ,6 ]
Li, Xi [1 ,2 ]
Li, Jing [1 ,2 ]
Hu, Shengshou [1 ,2 ]
机构
[1] Chinese Acad Med Sci, Natl Clin Res Ctr Cardiovasc Dis, State Key Lab Cardiovasc Dis, Fuwai Hosp,Natl Ctr Cardiovasc Dis, Beijing 100730, Peoples R China
[2] Peking Union Med Coll, Beijing 100021, Peoples R China
[3] Yale Univ, Sch Med, Dept Internal Med, Sect Cardiovasc Med, New Haven, CT 06510 USA
[4] Yale Univ, Sch Med, Dept Internal Med, Robert Wood Johnson Fdn Clin Scholars Program, New Haven, CT 06510 USA
[5] Yale Univ, Sch Publ Hlth, Dept Hlth Policy & Management, New Haven, CT USA
[6] Yale New Haven Hosp, Ctr Outcomes Res & Evaluat, New Haven, CT 06504 USA
关键词
ACUTE MYOCARDIAL-INFARCTION; ACUTE CORONARY SYNDROMES; ACUTE ISCHEMIC-STROKE; TISSUE-PLASMINOGEN ACTIVATOR; ASSOCIATION TASK-FORCE; TO-BALLOON TIMES; NONCOMMUNICABLE DISEASES; SECONDARY PREVENTION; PRACTICE PATTERNS; AMERICAN-COLLEGE;
D O I
10.1016/S0140-6736(15)00343-8
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
China has an immediate need to address the rapidly growing population with cardiovascular disease events and the increasing number of people living with this illness. Despite progress in increasing access to services, China faces the dual challenge of addressing gaps in quality of care and producing more evidence to support clinical practice. In this Review, we address opportunities to strengthen performance measurement, programmes to improve quality of care, and national capacity to produce high-impact knowledge for clinical practice. Moreover, we propose recommendations, with implications for other diseases, for how China can immediately make use of its Hospital Quality-Monitoring System and other existing national platforms to assess and improve performance of medical care, and to generate new knowledge to inform clinical decisions and national policies.
引用
收藏
页码:1493 / 1505
页数:13
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