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Enhancing High Value Care in Gastroenterology Practice
Michael Camilleri1, David A Katzka1
1Clinical Enteric Neuroscience Translational and Epidemiological Research (CENTER), Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota.
Summary
This review identifies opportunities in gastroenterology to enhance patient care value and reduce costs. It proposes evidence-based guidance for optimizing diagnostic strategies and treatment pathways.
Area of Science:
- Gastroenterology
- Health Economics
- Clinical Practice Improvement
Background:
- Current gastroenterology practice presents opportunities for enhancing value and reducing healthcare costs.
- Studies highlight areas where clinical decisions can be optimized for better patient outcomes and economic efficiency.
Purpose of the Study:
- To identify common areas in gastroenterology practice for enhancing value or lowering costs.
- To propose evidence-based guidance for optimizing diagnostic and treatment strategies.
Main Methods:
- Review of studies focusing on cost-effectiveness and value enhancement in gastroenterology.
- Identification of topics including esophageal, pancreatic, and colorectal cancer, functional gastrointestinal diseases, immune-mediated diseases, and pancreaticobiliary pathology.
Main Results:
- Guidance proposed for altering practice based on current evidence.
- Strategies include using less invasive testing, selecting single best tests, and symptom-guided diagnostic approaches.
Conclusions:
- Evidence supports reviewing current gastroenterology practices.
- Further research is needed to validate guidance for enhancing value in gastroenterology and hepatology.
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