Open AccessQuality of Health Care in the United States: Implications for Pediatric Inflammatory Bowel Disease
Author(s) -
Boyle Brendan M,
Palmer Lena,
Kappelman Michael D
Publication year - 2009
Publication title -
journal of pediatric gastroenterology and nutrition
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.206
H-Index - 131
eISSN - 1536-4801
pISSN - 0277-2116
DOI - 10.1097/mpg.0b013e3181a491e7
Subject(s) - medicine , subspecialty , inflammatory bowel disease , health care , quality management , intensive care medicine , family medicine , medline , public health , quality (philosophy) , health care quality , disease , nursing , pathology , management system , management , economics , economic growth , philosophy , epistemology , political science , law
The Institute of Medicine's publications To Error is Human and Crossing the Quality Chasm publicized the widespread deficits in US health care quality. Emerging studies continue to reveal deficits in the quality of adult and pediatric care, including subspecialty care. In recent years, key stakeholders in the health care system including providers, purchasers, and the public have been applying various quality improvement methods to address these concerns. Lessons learned from these efforts in other pediatric conditions, including asthma, cystic fibrosis, neonatal intensive care, and liver transplantation may be applicable to the care of children with inflammatory bowel disease (IBD). This review is intended to be a primer on the quality of care movement in the United States, with a focus on pediatric IBD. In this article, we review the history, rationale, and methods of quality measurement and improvement, and we discuss the unique challenges in adapting these general strategies to pediatric IBD care.