Creating a framework for an integrated novel ultrasound clinic for metabolic dysfunction-associated steatotic liver disease

Abstract

This article aimed to identify common themes of successful initiatives in metabolic dysfunction-associated steatotic liver disease that have contributed to improved patient-reported outcomes. The purpose of this was to devise a framework of change and implementation for a novel pilot clinic using transient elastography, a type of liver ultrasound. The clinic was designed to link hospital and community care, in line with Ireland's Sláintecare policy. The authors conducted a systematic review of the literature to find relevant publications assessing patient-reported outcomes in metabolic dysfunction-associated steatotic liver disease. A total of 16 papers were identified, with analysis demonstrating four common themes: characteristics of a positive experience; personalised care; interaction with healthcare providers; and service delivery. Findings of the review and meta-synthesis of qualitative research projects were used to create a blueprint for a pilot transient elastography clinic pathway. This innovation emphasises the importance of integrated care from community to hospital and could have a key role in the future of healthcare in Ireland.