Inflammatory bowel diseases (IBDs) are chronic and impose significant, multidimensional burdens on patients and health care systems. The increasing prevalence of IBD will only worsen this problem globally—population health management (PHM) strategies are needed to increase quality of care and population health outcomes while reducing health care costs. We discuss the key components of PHM in IBD. Effective implementation of PHM strategies requires accurate identification of at-risk patients and key areas of variability in care. Improving outcomes of the at-risk population requires implementation of a multicomponent chronic care model designed to shift delivery of ambulatory care from acute, episodic, and reactive encounters, to proactive, planned, long-term care. This is achieved through team care of an activated patient with the help of remote monitoring, clinical information systems, and integrated decision support, with accompanying changes in delivery systems. Performance measurement is integral to any PHM strategy. This involves developing and implementing meaningful metrics of different phases of quality of IBD care and measuring them efficiently using modern clinical information systems. Such an integrated framework of PHM in IBD will facilitate the delivery of high-value care to patients.

炎性肠病（IBD）是慢性病，对患者和医疗保健系统构成了巨大的多维负担。IBD患病率的上升只会在全球范围内加剧该问题-需要人口健康管理（PHM）策略来提高护理质量和人口健康结果，同时降低医疗成本。我们讨论了IBD中PHM的关键组成部分。有效实施PHM策略需要准确识别高危患者和护理变异性的关键领域。改善高危人群的结局需要实施多组件的慢性护理模型，该模型旨在将非卧床护理的提供从急性，偶发性和反应性遭遇转移到积极，有计划的长期护理。这是通过在远程监控，临床信息系统和集成决策支持的帮助下对已激活患者进行团队护理来实现的，同时伴随着输送系统的变化。绩效评估对于任何PHM策略都是不可或缺的。这涉及开发和实施IBD护理质量不同阶段的有意义的指标，并使用现代临床信息系统对其进行有效测量。IBD中PHM的这种综合框架将有助于向患者提供高价值的护理。这涉及开发和实施IBD护理质量不同阶段的有意义的指标，并使用现代临床信息系统对其进行有效测量。IBD中PHM的这种综合框架将有助于向患者提供高价值的护理。这涉及开发和实施IBD护理质量不同阶段的有意义的指标，并使用现代临床信息系统对其进行有效测量。IBD中PHM的这种综合框架将有助于向患者提供高价值的护理。