Improving Care in Pediatric Inflammatory Bowel Disease

Gastroenterol Clin North Am. 2018 Dec;47(4):909-919. doi: 10.1016/j.gtc.2018.07.013. Epub 2018 Sep 28.

Abstract

Pediatric patients with inflammatory bowel disease (IBD) stand to benefit from quality improvement (QI) due to the chronic nature of the disease, frequent interaction with the health care system, and exposure to high-risk treatments. The use of QI in health care has led to significant improvements in quality and reliability of care. Despite these advances, significant deficits in providing high-quality pediatric IBD care persist. This article describes a brief history of health care QI, identifies gaps and challenges in delivery of quality pediatric IBD care, highlights several IBD QI initiatives, and concludes with future directions for improving pediatric IBD outcomes.

Keywords: Crohn disease; ImproveCareNow; Inflammatory bowel disease; Quality improvement; Ulcerative colitis.

Publication types

  • Review

MeSH terms

  • Child
  • Humans
  • Inflammatory Bowel Diseases / therapy*
  • Outcome Assessment, Health Care
  • Practice Guidelines as Topic
  • Quality Improvement*