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자료유형
학술저널
저자정보
예병덕 (울산대학교) Simon Travis (Oxford University Hospitals)
저널정보
대한장연구학회 Intestinal research Intestinal research Vol.17 No.1
발행연도
2019.1
수록면
45 - 53 (9page)

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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 definedby interest groups and can be adapted into process tools for the delivery of care for various patient subgroups and clinicalscenarios. The emerging treat-to-target approach to IBD management may be used to achieve optimal long-term and holisticpatient-centred outcomes, such as survival, control of inflammation and disease progression, symptomatic remission, quality oflife and complications. Other important quality-of-care outcome measures for IBD include disutility of care, healthcare utilizationand other patient-reported outcomes such as nutritional status and impact of fistulae. The current challenge for healthcareproviders and health systems is the integration of quality-of-care structures and processes into clinical practice, and the consistentdelivery 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 shouldbe encouraged to take the lead in improving the quality of care in IBD. (Intest Res 2019;17:45-53)

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