Secondary Indicators for an Evaluation and Guidance System for Quality of Care in Inflammatory Bowel Disease Centers: A Critical Review of the Inflammatory Bowel Disease Quality of Care Center

被引:4
作者
Shen Jun [1 ,2 ,3 ]
Liang Jie [4 ,5 ]
Mao Ren [6 ]
Ran Zhihua [1 ,2 ,3 ]
机构
[1] Minist Hlth, Div Gastroenterol & Hepatol, Key Lab Gastroenterol & Hepatol, Inflammatory Bowel Dis Res Ctr, 160 Pu Jian Ave, Shanghai 200127, Peoples R China
[2] Shanghai Jiao Tong Univ, Renji Hosp, Sch Med, 160 Pu Jian Ave, Shanghai 200127, Peoples R China
[3] Shanghai Inst Digest Dis, 160 Pu Jian Ave, Shanghai 200127, Peoples R China
[4] Air Force Med Univ, State Key Lab Canc Biol, Natl Clin Res Ctr Digest Dis, Xian, Peoples R China
[5] Air Force Med Univ, Xijing Hosp Digest Dis, Xian, Peoples R China
[6] Sun Yat Sen Univ, Dept Gastroenterol, Affiliated Hosp 1, Guangzhou 510080, Peoples R China
关键词
quality of care; inflammatory bowel disease; inflammatory bowel disease quality care evaluation center; secondary indicators; ACTIVE ULCERATIVE-COLITIS; EVIDENCE-BASED CONSENSUS; CROHNS-DISEASE; RESCUE THERAPY; INTRAVENOUS CYCLOSPORINE; ADSORPTIVE APHERESIS; PULMONARY-EMBOLISM; ENTERAL NUTRITION; RISK-FACTORS; ANTI-TNF;
D O I
10.1093/ibd/izac009
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Lay Summary Secondary indicators for an evaluation and guidance system for quality of care promote homogenization of inflammatory bowel disease management for high-level centers. The number of patients with inflammatory bowel disease (IBD) has increased remarkably in recent years. However, the level of health care for IBD patients varies greatly among regions of China. Standardization of health care for IBD patients is essential to improve quality of care (QoC). The mission of the IBD Quality Care Evaluation Center (IBDQCC) is to establish indicators for QoC. Since 2017, the IBDQCC has developed structure, process, and outcome indicators with the steering committee of IBD specialists and methodologists; 28 core and 13 secondary IBD QoC indicators were selected using a Delphi method. Applications for certification of IBD quality care units were made voluntarily and preliminarily screened through the IBDQCC committee. Regional units had to meet all core indicators, and units of excellence were required to meet all core indicators together with an additional 50% of secondary indicators. As of 2019 and 2020, 69 IBD units (all from tertiary referral hospitals) have been certified as regional IBD units in China. The certification of excellence of the IBD units is currently undergoing auditing. The awareness of and appreciation for QoC in IBD is increasing in China, especially through the quality control evaluation program initiated by the IBDQCC, with a higher number of IBD units applying for the next round of certification. Although secondary indicators seem to play relatively minor roles in QoC, they suggest additional requirements for high-level centers.
引用
收藏
页码:S3 / S8
页数:6
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