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      Process engineering for primary care: Quality improvement and population health

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          Abstract

          A fundamental paradox of the health care delivery systems in many industrialized nations is that desired population health metrics are often not achieved despite large expenditures in the health care delivery system. For example, the United States commits nearly 18% of its GDP to the health care delivery system, the largest amount of any nation, yet is 37th in achieving health or health care delivery metrics. This article addresses how general practice can be an important driver of population health in the Chinese health care delivery system through the application of quality improvement methods. The article shows examples of how the cause-and-effect diagram, the process map, and the plan, do, study, act (PDSA) cycle are important techniques to assist primary care practitioners for improving population health.

          Most cited references8

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          Defining Quality Improvement in Public Health

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            Quality Improvement in Gastroenterology Clinical Practice

            An emphasis on quality improvement (QI) is vital to the cost-effective provision of evidence-based health care. QI projects in gastroenterology have typically focused on endoscopy to minimize or eliminate procedure-related complications or errors. However, a significant component of gastroenterology care is based on the management of chronic disease. Patients with chronic diseases are seen in many different outpatient practices in the community and academia. In an attempt to ensure that every patient receives high-quality care, major gastrointestinal societies have published guidelines on the management of common gastrointestinal complaints. However, adherence to these guidelines varies. We discuss common outpatient gastrointestinal illnesses with established guidelines for management that could benefit from active QI projects; these would ensure a consistently high standard of care for every patient.
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              Disease management – promise and pitfalls

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                Author and article information

                Journal
                FMCH
                Family Medicine and Community Health
                FMCH
                Compuscript (Ireland )
                2009-8774
                2305-6983
                April 2016
                May 2016
                : 4
                : 2
                : 29-35
                Affiliations
                [1] 1Science Health Care Delivery, Arizona State University, 6930 East Bighorn Court, Superstition Mt, AZ 85118, USA
                Author notes
                CORRESPONDING AUTHOR: William Riley, PhD, Science Health Care Delivery, Arizona State University, 6930 East Bighorn Court, Superstition Mt, AZ 85118, USA, Tel.: +1-602-8034228, E-mail: william.j.riley@ 123456asu.edu
                Article
                FMCH.2015.0151
                10.15212/FMCH.2015.0151
                c3044880-39d5-4790-b1ad-51a04e817a6a
                Copyright © 2016 Family Medicine and Community Health

                This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 Unported License (CC BY-NC 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc/4.0/.

                History
                : 17 April 2015
                : 15 July 2015
                Categories
                Review

                General medicine,Medicine,Geriatric medicine,Occupational & Environmental medicine,Internal medicine,Health & Social care
                general practice,quality improvement techniques,Population health,primary care

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