Compliance with clinical guidelines for chronic obstructive pulmonary disease: A nationwide database study
Journal
ACM International Conference Proceeding Series
Pages
55-59
Date Issued
2017
Author(s)
Abstract
Every disease has its own characteristics, so different clinical guidelines are used to recommend the appropriate treatment or take care of patients. Clinical guidelines can not only help medical staff in their work, but also improve a patient's prognosis and quality of healthcare, and reduce the medical cost. In order to provide an accurate assessment and evidence-based procedure, the Global initiative for chronic Obstructive Lung Disease (GOLD) published clinical guidelines for Chronic Obstructive Pulmonary Disease (COPD) in 2001. Taiwan's National Health Insurance Research Database (NHIRD) is one of the largest e-Health databases around the world. The aim of this study was to evaluate the secular trend for guideline compliance in Taiwan and assess the influence of hospital levels and clinician speciality on it by using a Taiwanese eHealth database. Generally, the database is a good content source for compliance checking. The compliance of GOLD diagnoses and assessment guidelines in Taiwan has been increasing year by year. A wide variation in the procedure usage rate is statistically significant among different levels of hospitals and clinician specialties. Hence, we are very pleased to see the improvement of clinical guideline compliance in Taiwan in recent years. However, we still should make more effort to improve guideline compliance in the future in order to provide better medical quality for patients.
SDGs
Publisher
Association for Computing Machinery
Type
conference paper