Diabetic Nephropathy Screening in a Residency Clinic: Improvements Also Reveal Limits of Healthcare Effectiveness Data and Information Set (HEDIS) Metric.
Diabetic Nephropathy Screening in a Residency Clinic: Improvements Also Reveal Limits of Healthcare Effectiveness Data and Information Set (HEDIS) Metric.
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DOI：
10.2337/cd19-0059
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发表时间：
2020-07-01
期刊：
影响因子：
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通讯作者：
Fortenberry, Katherine T
中科院分区：
文献类型：
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作者：
Curran, Rebecca L;Lippman, Jason M;Fortenberry, Katherine T
美国糖尿病协会与美国医师学会和国家糖尿病教育项目合作出版了质量改进成功案例。本系列旨在突出项目和诊所的最佳实践和战略，这些项目和诊所成功地改善了糖尿病或相关疾病患者的护理质量。该系列中的每一篇文章都经过审查，并遵循《临床糖尿病》编辑制定的标准格式。下面的文章描述了一项由居民主导的倡议，该倡议改善了初级保健诊所的糖尿病肾病筛查。它还强调了复杂指标的挑战，以及强调护理过程的一个维度而不是另一个维度的潜在意想不到的后果。
Quality Improvement Success Stories are published by the American Diabetes Association in collaboration with the American College of Physicians, Inc., and the National Diabetes Education Program. This series is intended to highlight best practices and strategies from programs and clinics that have successfully improved the quality of care for people with diabetes or related conditions. Each article in the series is reviewed and follows a standard format developed by the editors of Clinical Diabetes. The following article describes a resident-led initiative that improved diabetic nephropathy screening in a primary care clinic. It also highlights the challenges of complex metrics, as well as the potential unintended consequences of emphasizing one dimension of a care process over another.