Cargando…

Strategies to Improve Delivery of Cirrhosis Care

PURPOSE OF REVIEW: This review provides an overview of the current state of research around improving healthcare delivery for patients with cirrhosis in the outpatient, inpatient, and transitional care settings. RECENT FINDINGS: Recent studies have broadly employed changes to the model of care deliv...

Descripción completa

Detalles Bibliográficos
Autores principales: Moghe, Akshata, Yakovchenko, Vera, Morgan, Timothy, McCurdy, Heather, Scott, Dawn, Rozenberg-Ben-Dror, Karine, Rogal, Shari
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8142883/
https://www.ncbi.nlm.nih.gov/pubmed/34054289
http://dx.doi.org/10.1007/s11938-021-00345-y
_version_ 1783696640294518784
author Moghe, Akshata
Yakovchenko, Vera
Morgan, Timothy
McCurdy, Heather
Scott, Dawn
Rozenberg-Ben-Dror, Karine
Rogal, Shari
author_facet Moghe, Akshata
Yakovchenko, Vera
Morgan, Timothy
McCurdy, Heather
Scott, Dawn
Rozenberg-Ben-Dror, Karine
Rogal, Shari
author_sort Moghe, Akshata
collection PubMed
description PURPOSE OF REVIEW: This review provides an overview of the current state of research around improving healthcare delivery for patients with cirrhosis in the outpatient, inpatient, and transitional care settings. RECENT FINDINGS: Recent studies have broadly employed changes to the model of care delivery, team composition, and technology to improve cirrhosis care. In the outpatient setting, approaches have included engaging caregivers, patient navigators, and non-physicians and using virtual care, smartphone applications, and wearables. Inpatient care approaches have focused on the role of interdisciplinary teams, education interventions, and changes to the medical record system, while post-discharge interventions have included day hospitals and care coordinator interventions. This review also describes the Veterans Health Administration’s novel, population-level approach to delivery of cirrhosis care, and addressed how the pandemic has impacted the delivery of cirrhosis care. SUMMARY: Comprehensive, evidence-based approaches to delivering high-quality cirrhosis care continue to evolve to meet the needs of a growing population in an ever-changing healthcare environment.
format Online
Article
Text
id pubmed-8142883
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Springer US
record_format MEDLINE/PubMed
spelling pubmed-81428832021-05-25 Strategies to Improve Delivery of Cirrhosis Care Moghe, Akshata Yakovchenko, Vera Morgan, Timothy McCurdy, Heather Scott, Dawn Rozenberg-Ben-Dror, Karine Rogal, Shari Curr Treat Options Gastroenterol Liver (J Bajaj, Section Editor) PURPOSE OF REVIEW: This review provides an overview of the current state of research around improving healthcare delivery for patients with cirrhosis in the outpatient, inpatient, and transitional care settings. RECENT FINDINGS: Recent studies have broadly employed changes to the model of care delivery, team composition, and technology to improve cirrhosis care. In the outpatient setting, approaches have included engaging caregivers, patient navigators, and non-physicians and using virtual care, smartphone applications, and wearables. Inpatient care approaches have focused on the role of interdisciplinary teams, education interventions, and changes to the medical record system, while post-discharge interventions have included day hospitals and care coordinator interventions. This review also describes the Veterans Health Administration’s novel, population-level approach to delivery of cirrhosis care, and addressed how the pandemic has impacted the delivery of cirrhosis care. SUMMARY: Comprehensive, evidence-based approaches to delivering high-quality cirrhosis care continue to evolve to meet the needs of a growing population in an ever-changing healthcare environment. Springer US 2021-05-24 2021 /pmc/articles/PMC8142883/ /pubmed/34054289 http://dx.doi.org/10.1007/s11938-021-00345-y Text en © This is a U.S. government work and not under copyright protection in the U.S.; foreign copyright protection may apply 2021 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Liver (J Bajaj, Section Editor)
Moghe, Akshata
Yakovchenko, Vera
Morgan, Timothy
McCurdy, Heather
Scott, Dawn
Rozenberg-Ben-Dror, Karine
Rogal, Shari
Strategies to Improve Delivery of Cirrhosis Care
title Strategies to Improve Delivery of Cirrhosis Care
title_full Strategies to Improve Delivery of Cirrhosis Care
title_fullStr Strategies to Improve Delivery of Cirrhosis Care
title_full_unstemmed Strategies to Improve Delivery of Cirrhosis Care
title_short Strategies to Improve Delivery of Cirrhosis Care
title_sort strategies to improve delivery of cirrhosis care
topic Liver (J Bajaj, Section Editor)
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8142883/
https://www.ncbi.nlm.nih.gov/pubmed/34054289
http://dx.doi.org/10.1007/s11938-021-00345-y
work_keys_str_mv AT mogheakshata strategiestoimprovedeliveryofcirrhosiscare
AT yakovchenkovera strategiestoimprovedeliveryofcirrhosiscare
AT morgantimothy strategiestoimprovedeliveryofcirrhosiscare
AT mccurdyheather strategiestoimprovedeliveryofcirrhosiscare
AT scottdawn strategiestoimprovedeliveryofcirrhosiscare
AT rozenbergbendrorkarine strategiestoimprovedeliveryofcirrhosiscare
AT rogalshari strategiestoimprovedeliveryofcirrhosiscare