| 中美缺血性卒中门诊医疗质量改进项目进展 |
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| 引用本文： | 陈盼,王拥军. 中美缺血性卒中门诊医疗质量改进项目进展[J]. 中国卒中杂志, 2015, 10(1): 84-87 |
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| 作者姓名： | 陈盼 王拥军 |
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| 作者单位： | 首都医科大学附属北京天坛医院神经内科，国家神经系统疾病临床医学研究中心 |
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| 基金项目： | 卫生部卫生公益性行业科研专项(200902004-03)子课题“中国城市神经科门诊缺血性卒中登记研究”(C201003)北京脑血管病临床数据与样本资源库发展与应用研究 |
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| 摘 要： | 美国指南优势（The Guideline Advantage，TGA）医疗质量改进项目为“跟着指南走”（Get With the Guideline，GWTG）项目的门诊延伸，其数据直接通过电子病历和卫生技术平台进行收集，以体现循证医学指南的依从性。中国门诊医疗质量改进项目刚起步，其中中国金桥工程中的中国城市神经科门诊缺血性卒中登记研究拟对全国约100家医院门诊的1.5万例缺血性卒中患者进行调查和随访，评估缺血性卒中的医疗服务现状、二级预防的长期依从性、临床结局等，为进一步的医疗质量改进提供基础数据。
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| 关 键 词： | 缺血性卒中 二级预防 门诊 医疗质量改进 指南优势 |
| 收稿时间： | 2014-08-11 |
Progress of Ischemic Stroke Medical Care Quality Improvement Program in Outpatient Setting in China and the USA |
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| CHEN Pan,WANG Yong-Jun. Progress of Ischemic Stroke Medical Care Quality Improvement Program in Outpatient Setting in China and the USA[J]. Chinese Journal of Stroke, 2015, 10(1): 84-87 |
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| Authors: | CHEN Pan WANG Yong-Jun |
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| Affiliation: | Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, China National Clinical Research Center for Neurological Disease, Beijing 100050, China |
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| Abstract: | The Guideline Advantage quality improvement program (TGA) is an extended program of Get With the Guideline (GWTG) in outpatient setting in USA. TGA utilizes data from electronic health records (EHRs) or health technology platforms to report on adherence to evidence-based guidelines. Outpatient medical care quality improvement program has just started in China. Registry of outpatients with ischemic stroke in urban China (ROOTS) study evaluates the secondary prevention status, adherence and long-term persistence to secondary prevention and clinical outcome of 15?000 outpatients with ischemic stroke in 100 hospitals in China. ROOTS provides basic data for further medical care quality improvement process. |
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| Keywords: | Ischemic stroke Secondary prevention Outpatient Quality improvement of medical care The Guideline Advantage |
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