Oct 24, 2013

Interventions and targets aimed at improving quality in inflammatory bowel disease ambulatory care

World Journal of Gastroenterology : WJG
Adam V Weizman, Geoffrey C Nguyen

Abstract

Over the past decade, there has been increasing focus on improving the quality of healthcare delivered to patients with chronic diseases, including inflammatory bowel disease. Inflammatory bowel disease is a complex, chronic condition with associated morbidity, health care costs, and reductions in quality of life. The condition is managed primarily in the outpatient setting. The delivery of high quality of care is suboptimal in several ambulatory inflammatory bowel disease domains including objective assessments of disease activity, the use of steroid-sparing agents, screening prior to anti-tumor necrosis factor therapy, and monitoring thiopurine therapy. This review outlines these gaps in performance and provides potential initiatives aimed at improvement including reimbursement programs, quality improvement frameworks, collaborative efforts in quality improvement, and the use of healthcare information technology.

  • References58
  • Citations3

References

  • References58
  • Citations3

Citations

Mentioned in this Paper

communication and information technology
Morbidity Aspects
Tumor Necrosis Factor-alpha
Anti-Inflammatory Agents
Digestants
Chronic Disease
Myopathy
Outcome and Process Assessment (Health Care)
Adrenal Cortex Hormones
Health Care Systems

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