How can we improve models of care in inflammatory bowel disease? An international survey of IBD health professionals

Abstract

Health care professionals believe that an ideal IBD service should: be fully integrated, involve significant roles of nurses, psychologists and dieticians, run in specialist clinics, be easily accessible to patients and publicly funded.

Roles of healthcare professionals in the management of chronic gastrointestinal diseases with a focus on primary care: A systematic review

“…Studies explored self‐management, the effectiveness of nurse‐led interventions, adherence to pharmacist advice, and the effectiveness of pharmacist/pharmacy‐led testing in a targeted case‐finding service. Studies investigating gaps in care addressed the lack of or variation in available care in the management of IBD, including gaps in communication (between primary care and specialized care providers), knowledge gaps among healthcare professionals, and the variation in the provision of IBD management and care . Finally, burden of disease studies evaluated the impact of gaps in and the delivery of IBD care that affect the overall management of IBD …”

“…This may reflect the fact that IBS, FD, and CeD have more focus on the primary care of the patients than IBD, which is largely managed by specialists and nurses. This can lead to gaps in care, and indeed all of the reviewed studies showed that gaps in care was the predominant theme in IBD research literature . This indicates that there are gaps in care in IBD management, which is not evident in other chronic gastrointestinal diseases.…”

Multidisciplinary team meetings appear to be effective in inflammatory bowel disease management: an audit of process and outcomes

“…Inflammatory bowel disease (IBD), encompassing Crohn disease (CD) and ulcerative colitis (UC), is a chronic disease with a relapsing clinical pattern, affecting up to 0.5% of the general population in the Western nations, including almost 75 000 Australians . Management of IBD is complex, necessitating a multidisciplinary approach . Due to the relapsing course and unpredictability, it is necessary to be able to: (i) effectively detect flares and complications; (ii) determine the appropriate timing of commencing corticosteroid, corticosteroid sparing or biological therapies; (iii) monitor for medication side‐effects, including hepatotoxicity and leukopenia; (iv) prevent and manage opportunistic infections and lymphoproliferative disorders; and (v) select the optimal timing for surgical management.…”

Manejo integral de la enfermedad inflamatoria intestinal: más allá de una terapia farmacológica adecuada

“…Con el fin de mejorar la atención de salud en pacientes con EII, debemos enfocarnos en realizar cambios que incluyan la creación de unidades para pacientes con EII, tener la disposición a entregar un sistema de atención continua, estandarizar los cuidados de atención y realizar una educación a los equipos de salud primaria sobre temas relacionados con el manejo de los pacientes con EII. Recientemente, un estudio concluye que un servicio de EII ideal debe ser multidisciplinario, integrando en éste el apoyo de enfermeras, nutricionistas/nutriólogos y psicólogos 48 . Por otra parte, cuestionarios de evaluación e índices de medición de la calidad de atención en EII han sido sugeridos por diferentes organismos 49 .…”