Providing Our Fellows in Training with Education on Inflammatory Bowel Disease Health Maintenance to Improve the Quality of Care in Our Health Care System.

作者: Ann Joo Lee , Dale F. Kraemer , Carmen Smotherman , Emely Eid

DOI: 10.1097/MIB.0000000000000573

关键词:

摘要: BACKGROUND Inflammatory bowel disease (IBD) quality measures were established in an effort to standardize IBD health care. Despite improve clinical performance, considerable variations practice still exist. To further care, we propose incorporating in-service educational session on maintenance provide trainees with increasing awareness and knowledge management. METHODS Fifty electronic medical charts randomly selected, the level of documentation was assessed for 15 core measures. Data reported as percentage meeting audit criteria (compliance score). Fellows then attended review reinforce expectations. A second performed additional 50 patient determine whether practices improved after session. RESULTS We found a positive correlation between fellows' compliance maintenance. Overall, score increased by 18% (before intervention, 65%; 83%; P < 0.0001). The intervention equally beneficial irrespective training level. Although magnitude improvement comparable, mean highest year 2 at 81% (year 1: 72% [P = 0.019] 3: 70% 0.002]). expressed high degree satisfaction emphasized value reviewing conceptual bases CONCLUSION Incorporating standard curriculum provides fellows guidance managing unique preventive care needs patients IBD.

参考文章(19)
M. Tan, R. H. Holloway, K. Lange, J. M. Andrews, General practitioners' knowledge of and attitudes to inflammatory bowel disease Internal Medicine Journal. ,vol. 42, pp. 801- 807 ,(2012) , 10.1111/J.1445-5994.2011.02586.X
Kurt Kroenke, Robert L. Spitzer, Janet B. W. Williams, The Patient Health Questionnaire-2: validity of a two-item depression screener. Medical Care. ,vol. 41, pp. 1284- 1292 ,(2003) , 10.1097/01.MLR.0000093487.78664.3C
Maria Moscandrew, Uma Mahadevan, Sunanda Kane, General health maintenance in IBD. Inflammatory Bowel Diseases. ,vol. 15, pp. 1399- 1409 ,(2009) , 10.1002/IBD.20944
Lisbeth Selby, Andrew Hoellein, John F. Wilson, Are Primary Care Providers Uncomfortable Providing Routine Preventive Care for Inflammatory Bowel Disease Patients Digestive Diseases and Sciences. ,vol. 56, pp. 819- 824 ,(2011) , 10.1007/S10620-010-1329-8
Catherine S. Manolakis, Brooks D. Cash, Health Maintenance and Inflammatory Bowel Disease Current Gastroenterology Reports. ,vol. 16, pp. 402- ,(2014) , 10.1007/S11894-014-0402-4
L A Headrick, D Neuhauser, P Schwab, D P Stevens, Continuous quality improvement and the education of the generalist physician. Academic Medicine. ,vol. 70, ,(1995) , 10.1097/00001888-199501000-00033
Lavoisier J. Cardozo, Joel Steinberg, Mary Beth Lepczyk, Lisa Binns-Emerick, Yvonne Cardozo, Anil N. F. Aranha, Improving Preventive Health Care in a Medical Resident Practice JAMA Internal Medicine. ,vol. 158, pp. 261- 264 ,(1998) , 10.1001/ARCHINTE.158.3.261
Andrew D. Van Osdol, Colette T. O’Heron, Benjamin T. Jarman, "Same as it ever was"--only different: a successful ACGME innovative project to equip PGY I residents to take at-home call. Journal of Surgical Education. ,vol. 71, ,(2014) , 10.1016/J.JSURG.2014.06.002
Lisbeth Selby, Sunanda Kane, John Wilson, Purnima Balla, Brian Riff, Christopher Bingcang, Andrew Hoellein, Smita Pande, Willem J.S. de Villiers, Receipt of preventive health services by IBD patients is significantly lower than by primary care patients. Inflammatory Bowel Diseases. ,vol. 14, pp. 253- 258 ,(2008) , 10.1002/IBD.20266