卒中医疗质量改进临床研究进展 Progress in Clinical Research of Medical Quality Improvement in Stroke

Abstract

以促进卒中指南推荐向临床实践转化应用为目标的卒中医疗质量改进成为应对全球卒中疾病负担的优先防控策略。本综述介绍了依托于学习型健康系统理念开展的多层面质量改进代表性研究、卒中再灌注治疗及时性的持续提升策略以及数字化时代背景下辅助卒中全流程质量管理的移动与远程医疗的应用。本文总结了目前卒中医疗质量改进领域的进展与潜在方向，以期为我国卒中医疗质量改进项目设计与开展、卒中医疗质量监测与改进体系建设提供借鉴。 Abstract: The improvement of medical quality in stroke with the goal of facilitating the translation of guideline recommendations into clinical practice, has become a priority prevention and control strategy to address the global burden of stroke. This review introduces representative studies of multi-faceted quality improvement based on the concept of learning health system, strategies continuously improving the timeliness of reperfusion therapy for stroke, and applications of mobile health and telemedicine assisting in the quality management of the whole process of stroke in the context of the digital era. This paper summarizes the current advances and potential directions in the field of stroke medical quality improvement, in order to provide references for the design and implementation of medical quality improvement programs and the development of monitoring and improvement system of stroke medical quality in China.

Keywords

• 卒中
• 医疗质量
• 质量控制
• stroke
• medical quality
• quality control