Current Hepatology Reports

, Volume 17, Issue 1, pp 33–41 | Cite as

Care Coordination in Cirrhosis

  • Michelle Carbonneau
  • Tracy Davyduke
  • Puneeta Tandon
Management of Cirrhotic Patient (A Cardenas and P Tandon, Section Editors)
Part of the following topical collections:
  1. Topical Collection on Management of the Cirrhotic Patient


Purpose of Review

Care coordination involves the process of care delivery. Patients with decompensated cirrhosis represent a population with high care coordination needs. The goal of this review is to analyze the utility of care coordination strategies in cirrhosis.

Recent Findings

Target areas for care coordination strategies include transitions through care locations and disease trajectories, provider and patient communication, provider’s roles, and care delivery models. Cirrhosis research has primarily been focused on improving adherence to guideline-based care and clinical outcomes. Discrete process approaches are a reasonable place to start; however, interventions that include multidisciplinary care, patient involvement, and system redesign have greater widespread effect.


Significant gaps and unanswered questions exist, calling for a larger focus on care coordination among quality improvement initiatives in cirrhosis. Patient, provider, and economic outcomes warrant further evaluation in future studies.


Decompensated Quality improvement Care transition Care model Multidisciplinary 


Compliance with Ethical Standards

Conflict of Interest

Michelle Carbonneau, Tracy Davyduke, and Puneeta Tandon each declare no conflicts of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors


Papers of particular interest, published recently, have been highlighted as: • Of importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Michelle Carbonneau
    • 1
    • 2
  • Tracy Davyduke
    • 2
  • Puneeta Tandon
    • 1
    • 3
  1. 1.Cirrhosis Care ClinicEdmontonCanada
  2. 2.Alberta Health ServicesEdmontonCanada
  3. 3.Faculty of Medicine & DentistryUniversity of AlbertaEdmontonCanada

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