Secondary Indicators for an Evaluation and Guidance System for Quality of Care in Inflammatory Bowel Disease Centers: A Critical Review of the Inflammatory Bowel Disease Quality of Care Center

Abstract

The number of patients with inflammatory bowel disease (IBD) has increased remarkably in recent years. However, the level of healthcare for IBD patients varies greatly among regions of China. Standardization of healthcare for IBD patients is essential to improve quality of care (QoC). The mission of the IBD Quality Care Evaluation Center (IBDQCC) is to establish indicators for QoC. Since 2017, the IBDQCC has developed structure, process, and outcome indicators with the steering committee of IBD specialists and methodologists; 28 core and 13 secondary IBD QoC indicators were selected using a Delphi methodology. Applications for certification of IBD quality care units were made voluntarily and preliminarily screened through the IBDQCC committee. “Regional” units had to meet all core indicators, and “excellence” units were required to meet all core indicators together with an additional 50% of secondary indicators. As of 2019 and 2020, 69 IBD units (all from tertiary referral hospitals) have been certified as regional IBD units in China. The certification of excellence of the IBD units is currently undergoing auditing. The awareness of and appreciation for QoC in IBD is increasing in China, especially through the quality control evaluation program initiated by the IBDQCC, with a higher number of IBD units applying for the next round of certification. Although secondary indicators seem to play relatively minor roles in QoC, they suggest additional requirements for high level centers.

Quality of care in patients with inflammatory bowel disease from a public health center in Brazil

“…Regarding services assessment, a recently published article established indicators for QoC in IBD centers through IBD Quality Care Evaluation Center (IBDQCC)[ 30 ], in China. The committee has developed structure, process, and outcome indicators based on 28 core and 13 sary indicators such as facilities for diagnosis and evaluation of disease, diagnosis and treatment, follow-up, quality of life, and patients’ perspective.…”

The 2023 Impact of Inflammatory Bowel Disease in Canada: Access to and Models of Care

“…Although robust evidence is lacking in defining IBD MDT membership, guidelines provide some framework including identifying core and ancillary members ( 12 , 15 , 44 , 52 , 53 ). Core individuals for IBD-specific IMCs include nurses ( 12–14 , 34 , 41 , 42 , 44 , 52–75 ), mental health care providers such as psychologists and psychiatrists ( 33 , 41 , 53–55 , 57 , 62 , 63 , 66–68 , 70 , 74 , 76–80 ), dietitians ( 14 , 34 , 41 , 44 , 52 , 53 , 55 , 57 , 59 , 66–68 , 70 , 72 , 74 , 75 ), and social workers ( 53 , 55 , 57 , 62 , 66 , 67 , 70 ). Pathologists, radiologists, and pharmacists with a special interest in IBD have also been suggested as core members of an IMC ( 44 ).…”