在荷兰炎症肠病中心实施基于结果的质量改进
Mariam P Ali1,2, Rachel L West3, Marjolijn Duijvestein4
1Division of Health Technology and Assessment, Erasmus School of Health Policy and Management, Erasmus University Rotterdam, Rotterdam, The Netherlands.
Digestive diseases and sciences
|January 9, 2026
概括
荷兰炎症肠病 (IBD) 中心经常对结果进行监测,但对质量改进 (QI) 的持续使用并不常见. 改进数据整合和澄清角色可以提高基于结果的QI.
科学领域:
- 医疗保健管理的管理
- 提高质量 提高科学 提高质量
- 胃肠病学 胃肠病学
背景情况:
- 结果监测对于医疗保健的质量改善至关重要.
- 慢性疾病如炎症性肠病 (IBD) 具有很高的实践变化,需要有效的智商.
- 对QI的结果数据的实际应用仍未得到充分研究.
研究的目的:
- 调查荷兰IBD中心如何实施基于结果的QI.
- 识别QI使用结果数据的障碍和促进因素.
主要方法:
- 在荷兰的67个IBD中心分发了一份调查.
- 对14个中心进行了后续采访.
- 收集的数据涵盖了结果监测,数据基础设施和QI参与.
主要成果:
- 在28个参与中心中,79%的中心讨论了QI的结果,其中95%的人开始了QI的努力.
- 基于结果的QI不常见;只有18%的人每年讨论两次以上的结果.
- 通常监测的结果包括药物使用,临床医生报告的结果和患者报告的结果.
结论:
- 结果监测很普遍,但在荷兰IBD中心,QI并没有得到一致的利用.
- 碎片化的数据系统,不清楚的角色和非正式的讨论阻碍了有效的QI.
- 加强基于结果的QI需要更明确的角色,更好的数据集成,以及对结果选择的支持.
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