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Review
. 2021;19(2):369-379.
doi: 10.1007/s11938-021-00345-y. Epub 2021 May 24.

Strategies to Improve Delivery of Cirrhosis Care

Akshata Moghe  1 , Vera Yakovchenko  2 , Timothy Morgan  3   4 , Heather McCurdy  5 , Dawn Scott  6 , Karine Rozenberg-Ben-Dror  7 , Shari Rogal  8   9
Affiliations
Review

Strategies to Improve Delivery of Cirrhosis Care

Akshata Moghe et al. Curr Treat Options Gastroenterol. 2021.

Abstract

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.

Keywords: Ascites; Care delivery; Encephalopathy; Hospitalization; Implementation; Readmission.

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Conflict of interest statement

Conflict of interestThe work surrounding this publication is in compliance with Ethical Standards. All authors completed a Conflict of Interest form. Dr. Shari Rogal reports grants from VA Partnered Evaluation Initiative, the NIH, and the VA HIV Hepatitis and Related Conditions Program Office during the conduct of the study. Dr. Timothy Morgan reports grants from AbbVie, Merck, Genfit, and Gilead outside the submitted work. Dr. Akshata Moghe, Dr. Karine Rozenberg-Ben-Dror, Vera Yakovchenko, Dawn Scott, and Heather McCurdy declare no conflict of interests. This material is based upon work supported by the Department of Veterans Affairs, Veterans Health Administration, and Office of Research and Development. The views expressed in this article are those of the authors and do not necessarily reflect the position or policy of the Department of Veterans Affairs or the United States government.

Figures

Fig. 1
Fig. 1
Interventions to improve the delivery of cirrhosis care
See this image and copyright information in PMC

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