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Telephonefaxe-mail ac. All rights reserved This article has been cited by other articles in PMC. There is a paucity of published data regarding the quality of care of inflammatory bowel disease IBD in Canada.
Clinical quality indicators are quantitative end points used to guide, monitor and improve the quality of patient care. In Canada, where universal health care can vary significantly among provinces, quality indicators can be used to identify potential gaps in the delivery of IBD care and standardize the approach to interprovincial management.
An iterative voting process was used to select quality indicators to take forward. In a face-to-face meeting with the EPIC group, available evidence to support each quality indicator was presented by the EPIC member aligned to it, followed by group discussion to agree on the wording of the statements.
The selected quality indicators were then ratified in a final vote by all EPIC members.
Eleven quality indicators for the management of IBD within the single-payer health care system of Canada were developed. These focus on accurate diagnosis, appropriate and timely management, disease monitoring, and prevention or treatment of complications of IBD or its therapy.
These quality indicators are measurable, reflective of the evidence base and expert opinion, and define a standard of care that is at least a minimum that should be expected for IBD management in Canada. The next steps for the EPIC group involve conducting research to assess current practice across Canada as it pertains to these quality indicators and to measure the impact of each of these indicators on patient outcomes.
The report also indicated the presence of a notable gap between the perceived ideal and actual IBD care.
Moreover, there is substantial interprovincial variation in prescription drug benefit plans and access to services including elective surgery and diagnostic imaging.
These disparities may threaten equitable access to optimal IBD care. Clinical quality indicators QIs are quantitative end points used to guide, monitor and improve the quality of patient care 2. In particular, QIs that assess performance or process make it possible to document quality of care, set goals for appropriate standards of care, make comparisons over time among health care settings, make judgments and set priorities, and support accountability and quality improvement 3.
Such indicators are becoming increasingly recognized in all areas of medicine and have been particularly well established in areas such as cardiology 4 and cystic fibrosis 5. The use of QIs in IBD is relatively nascent; however, it is becoming increasingly recognized that such measures are important in improving quality of care in these chronic diseases.
These measures were primarily designed to be used for accountability and performance management, rather than quality improvement as such.
It is important to understand that these QIs are not meant to reflect ideal care, but rather a minimum acceptable standard of care that should be expected based on the evidence currently available. These QIs are measurable, reflective of the evidence base and expert opinion, and define a standard of care that is at least the minimum that should be expected for IBD management 8.MANUFACTURING OF VEGETABLE OILS-BASED EPOXY AND COMPOSITES FOR STRUCTURAL APPLICATIONS by RONGPENG WANG A DISSERTATION Presented to the Faculty of the Graduate School of the MISSOURI UNIVERSITY OF SCIENCE AND TECHNOLOGY In Partial Fulfillment of the Requirements for the Degree DOCTOR OF PHILOSOPHY In CHEMISTRY Approved by.
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(d coagulas revealed a rd, 4th gener ESBL prod diated ESB r further de three genes. Media in category "Nathalie Kosciusko-Morizet" The following files are in this category, out of total. Our purpose is to enable people with life-altering conditions to lead better lives.