Open AccessIdentifying Quality Gaps in Preventive Care for Outpatients With Cirrhosis Within a Large, Academic Health Care System
Author(s) -
Kardashian Ani,
Patel Arpan A.,
Aby Elizabeth S.,
Cusumano Vivy T.,
Soroudi Camille,
Winters Adam C.,
Wu Eric,
Beah Peter,
Delshad Sean,
Kim Nathan,
Yang Liu,
May Folasade P.
Publication year - 2020
Publication title -
hepatology communications
Language(s) - English
Resource type - Journals
ISSN - 2471-254X
DOI - 10.1002/hep4.1594
Subject(s) - medicine , odds ratio , cirrhosis , confidence interval , liver disease , health care , hepatocellular carcinoma , varices , logistic regression , specialty , emergency medicine , family medicine , economics , economic growth
This study examines the quality of outpatient preventive care in a large, ethnically diverse cohort of outpatients with cirrhosis at a high‐volume tertiary liver transplant center. Receipt of evidence‐based quality indicators, including preventive processes for ascites, esophageal varices, hepatic encephalopathy, hepatocellular carcinoma, liver transplantation, and general cirrhosis care, was variable and overall low. These findings suggest that larger system redesign efforts are needed to improve the quality of care, beyond just improving access to specialty providers.