The Institute of Medicine's publications 'To Err Is Human' and 'Crossing the Quality Chasm' publicized the widespread deficits in U.S. health care quality.
Dr Michael Kappelman and colleagues from the USA evaluated emerging studies that continue to reveal deficits in the quality of adult and pediatric care, including subspecialty care.
The team noted that inflammatory bowel diseases Crohn's disease and ulcerative colitis require diligent, long-term management and attention to their impact on intestinal and extraintestinal organ systems.
|Variation includes underuse, overuse, or misuse of medical service|
|Inflammatory Bowel Diseases|
The researchers found that the quality of inflammatory bowel diseases care has not been prospectively or comprehensively evaluated in the United States.
Several small studies have demonstrated significant variation in care.
As variation may indicate underuse, overuse, or misuse of medical services, such variation suggests a clear need for translating evidence-based practices into the actual practice and follow-up provided for patients.
Dr Kappelman's team concluded, “This article reviews the history, rationale, and methods of quality measurement and improvement and identifies the unique challenges in adapting these general strategies to the care of the inflammatory bowel diseases.”