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

Adam V. Weizman, Geoffrey C. Nguyen

Research output: Contribution to journalArticle

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.

Original languageEnglish (US)
Pages (from-to)6375-6382
Number of pages8
JournalWorld Journal of Gastroenterology
Volume19
Issue number38
DOIs
StatePublished - Oct 14 2013

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Keywords

  • Ambulatory care
  • Crohn's disease
  • Inflammatory bowel disease
  • Quality improvement
  • Ulcerative colitis

ASJC Scopus subject areas

  • Gastroenterology

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