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Improving the quality of care for inflammatory bowel disease

机译：提高炎症性肠病的护理质量

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Great strides have been achieved in the development of quality-of-care measures and standards for inflammatory bowel disease (IBD) over the last decade. The central structural component of care in IBD revolves around the multidisciplinary team, which should be equipped with the necessary resources to operate and implement decisions. Process measures have been defined by interest groups and can be adapted into process tools for the delivery of care for various patient subgroups and clinical scenarios. The emerging treat-to-target approach to IBD management may be used to achieve optimal long-term and holistic patient-centred outcomes, such as survival, control of inflammation and disease progression, symptomatic remission, quality of life and complications. Other important quality-of-care outcome measures for IBD include disutility of care, healthcare utilization and other patient-reported outcomes such as nutritional status and impact of fistulae. The current challenge for healthcare providers and health systems is the integration of quality-of-care structures and processes into clinical practice, and the consistent delivery of updated evidence-based quality IBD care to various patient populations by individual health care providers. Finally, the awareness and appreciation for quality of care in IBD is increasing in Asia, and Asian healthcare institutions should be encouraged to take the lead in improving the quality of care in IBD.
机译：在过去的十年中，炎症性肠病（IBD）的护理质量措施和标准的开发取得了长足的进步。 IBD中护理的中心结构部分围绕多学科团队，该团队应配备必要的资源来操作和执行决策。利益相关群体已经定义了过程测量方法，并且可以将其应用于过程工具中，以便为各种患者亚组和临床情况提供护理。新兴的以治疗为目标的IBD治疗方法可用于实现最佳的长期，整体患者中心结果，例如生存率，控制炎症和疾病进展，症状缓解，生活质量和并发症。 IBD的其他重要的护理质量结局指标包括护理的无效性，医疗保健的利用以及患者报告的其他结局，例如营养状况和瘘管的影响。医疗保健提供者和医疗系统当前面临的挑战是将医疗质量结构和流程整合到临床实践中，以及由各个医疗保健提供者向各种患者群体持续提供更新的基于证据的优质IBD护理。最后，亚洲对IBD的医疗质量的认识和评价正在提高，应鼓励亚洲医疗机构带头改善IBD的医疗质量。

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