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在炎症性肠道疾病中常见的低价值护理案例

Siddharth Singh¹, Fernando S Velayos², David T Rubin³

¹Division of Gastroenterology, University of California San Diego, La Jolla, California; Division of Biomedical Informatics, Department of Medicine, University of California San Diego, La Jolla, California.

Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association

|October 25, 2023

概括

在炎症性肠道疾病 (IBD) 中识别低价值护理对于改善患者的治疗结果和医疗保健效率至关重要. 本综述强调了IBD诊断,治疗和医院管理中低价值实践的常见实例.

科学领域:

胃肠病学胃肠病学
医疗保健服务研究医疗服务研究
基于价值的医疗保健

背景情况:

基于价值的护理强调医疗保健的质量,有效性和成本控制.
低价值护理包括干预措施,患者的益处,潜在危害或资源浪费最小.
炎症性肠病 (IBD) 管理提供了减少低价值护理的机会.

研究的目的:

确定和讨论在IBD的诊断,治疗和管理中低价值护理的常见情况.
为从业人员提供关于优化IBD护理的指导.
提高人们对基于价值的IBD护理的重要性的认识.

主要方法:

本研究是对与IBD管理相关的现有文献和临床实践的综述.
在IBD护理的各个领域中发现了低价值护理的常见情况.
该审查将低价值护理分为诊断,治疗和住院管理.

主要成果:

低价值的诊断实践包括过度使用血清学标记物,基于症状的监测和不必要的监测结肠镜检查.
低价值治疗包括不适当使用5-氨基酸盐,慢性皮质类固醇和低于最佳的生物疗法.
住院低价值护理包括常规成像,不充分的VTE预防和长期使用高剂量的类固醇.

结论:

减少IBD的低价值护理可以提高患者的治疗结果,并优化资源配置.
实施治疗到目标策略和优化生物疗法是基于价值的IBD护理的关键.
需要进一步的研究来系统地评估IBD中高价值和低价值的护理干预措施.

关键词:

生物制剂生物制剂生物制剂经济效益性成本效益性克罗恩氏病是什么?医疗保健废物医疗保健废物价值的价值价值的价值

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