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Defining comprehensive models of care for NAFLD

Lazarus, J; Anstee, QM; Hagstrom, H; Cusi, K; Cortez-Pinto, H; Mark, HE; Roden, M; ... Schattenberg, JM; + view all (2021) Defining comprehensive models of care for NAFLD. Nature Reviews Gastroenterology and Hepatology , 18 pp. 717-729. 10.1038/s41575-021-00477-7. Green open access

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Abstract

Non-alcoholic fatty liver disease (NAFLD) is now the leading cause of chronic liver disease globally. Despite the increased demand placed on health-care systems, little attention has been given to the design and implementation of efficient and effective models of care for patients with NAFLD. In many health-care settings, no formal pathways exist and, where pathways are in place, they are often not standardized according to good practices. We systematically searched the peer-reviewed literature with the aim of identifying published examples of comprehensive models of care that answered four key questions: what services are provided? Where are they provided? Who is offering them? How are they coordinated and integrated within health-care systems? We identified seven models of care and synthesized the findings into eight recommendations nested within the ‘what, where, who and how’ of care models. These recommendations, aimed at policy-makers and practitioners designing and implementing models of care, can help to address the increasing need for the provision of good practice care for patients with NAFLD.

Type: Article
Title: Defining comprehensive models of care for NAFLD
Open access status: An open access version is available from UCL Discovery
DOI: 10.1038/s41575-021-00477-7
Publisher version: https://doi.org/10.1038/s41575-021-00477-7
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher's terms and conditions.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine > Inst for Liver and Digestive Hlth
URI: https://discovery.ucl.ac.uk/id/eprint/10134646
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