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The Future of Quality Improvement for Cirrhosis.
Tapper, Elliot B; Parikh, Neehar D.
  • Tapper EB; Division of Gastroenterology and Hepatology, University of Michigan, Ann Arbor, MI.
  • Parikh ND; Division of Gastroenterology and Hepatology, University of Michigan, Ann Arbor, MI.
Liver Transpl ; 27(10): 1479-1489, 2021 10.
Article in English | MEDLINE | ID: covidwho-1487507
ABSTRACT
Cirrhosis has a significant and growing impact on public health and patient-reported outcomes (PROs). The increasing burden of cirrhosis has led to an emphasis on the quality of care with the goal of improving overall outcomes in this high-risk population. Existing evidence has shown the significant gaps in quality across process measures (eg, hepatocellular carcinoma screening), highlighting the need for consistent measurement and interventions to address the gaps in quality care. This multistep process forms the quality continuum, and it depends on clearly defined process measures, real-time quality measurement, and generalizable evaluative methods. Herein we review the current state of quality care in cirrhosis across the continuum with a focus on process measurement methodologies, developments in PRO evaluation on quality assessment, practical examples of quality improvement initiatives, and the recent emphasis placed on the value of primary prevention.
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Full text: Available Collection: International databases Database: MEDLINE Document Type: Article Main subject: Liver Transplantation / Quality Improvement Subject: Liver Transplantation / Quality Improvement Type of study: Diagnostic study / Patient-preference / Qualitative research Language: English Journal: Liver Transpl Clinical aspect: Etiology Year: 2021

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Full text: Available Collection: International databases Database: MEDLINE Document Type: Article Main subject: Liver Transplantation / Quality Improvement Subject: Liver Transplantation / Quality Improvement Type of study: Diagnostic study / Patient-preference / Qualitative research Language: English Journal: Liver Transpl Clinical aspect: Etiology Year: 2021
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