Excellence Centers in Inammatory Bowel Disease in Romania: a Measure of the Quality of Care

Negreanu, Lucian; Bățagă, Simona; Prelipcean, Cristina Cijevschi; Dobru, Daniela; Diculescu, Mircea; Dumitru, Eugen; Gheonea, Dan Ionuţ; Gheorghe, Liana; Gheorghe, Cristian; Goldiş, Adrian; Mateescu, Bogdan; Tanţău, Marcel; Trifan, Anca

doi:10.15403/jgld.2014.1121.233.ln1

Cited by 9 publications

(7 citation statements)

References 6 publications

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“…Inflammatory bowel disease often requires surgical intervention, which would involve a colorectal surgeon. The endoscopist, radiologist and pathologist all play an important role in the proper diagnosis of IBD, monitoring disease progression and treatment effectiveness, and detecting complications and colorectal cancer ( 10 , 12 ). Most often the primary attending gastroenterologist is the endoscopist involved in the care.…”

Section: Resultsmentioning

confidence: 99%

“…Unlike specialty medical homes, CoEs are often built around the health care team, more typically at academic centres, and require collaboration with hospitals/medical centres ( 25 ). Integrated care delivered by an MDT at a centre of excellence appears to be an effective model for long-term IBD care ( 1 , 11 , 12 ), and there is support for the use of this model worldwide ( 11 ). The Canadian Digestive Health Foundation recommends adoption of a multidisciplinary team approach in a CoE throughout the country.…”

Section: Resultsmentioning

confidence: 99%

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Integrated Care Models: Optimizing Adult Ambulatory Care in Inflammatory Bowel Disease

Schoenfeld

Nguyen

Bernstein

2018

Journal of the Canadian Association of Gastroenterology

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Background Inflammatory bowel disease (IBD), including Crohn’s disease and ulcerative colitis, is a chronic, complex and unpredictable disease affecting an increasing number of patients worldwide from a young age. Inflammatory bowel disease is associated with multiple comorbidities and complications, requiring ongoing preventative, acute and chronic care. The purpose of this article is to review the literature on outpatient care models used to treat adults with IBD and to gain insight on how to improve quality of care and reduce costs. Methods A comprehensive review of recent literature on PubMed, Scopus and Google Scholar databases about care models used to treat IBD was performed. Key terms included ‘inflammatory bowel disease’, ‘organizational models’, ‘patient care team’ and ‘quality improvement’. Results Studies showed that an integrated care model decreases hospital admissions, IBD-related surgeries and comorbidities of IBD, ultimately decreasing direct and indirect costs of IBD compared with a more traditional patient-physician model. A gastroenterologist-led multidisciplinary team (MDT) involving comprehensive care by IBD nurses, a surgeon, psychologist, dietician, pharmacist, and other members as needed is recommended. Conclusions A holistic approach to IBD care delivered by a MDT with structured monitoring, active follow-up, patient education and prompt access to care improves outcomes for IBD patients. More research is needed on the cost-effectiveness of integrated care models to demonstrate long-term value and secure funding for implementation. Future research should compare integrated models of care and assess patient and physician satisfaction in these models of delivering IBD care.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Integrated Care Models: Optimizing Adult Ambulatory Care in Inflammatory Bowel Disease

Schoenfeld

Nguyen

Bernstein

2018

Journal of the Canadian Association of Gastroenterology

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“…However, the publication only included the programme’s protocol but not the results obtained after the audits nor the number of IBD units certified. 23 …”

Section: Discussionmentioning

confidence: 99%

“…However, the publication only included the programme's protocol but not the results obtained after the audits nor the number of IBD units certified. 23 Compared with other diseases with higher economic costs, IBD has limited media visibility and social media for society. 24 For this reason, some other groups like the Crohn's & Colitis Foundation of America try to give value and importance to IBD in economic terms.…”

Section: F I G U R E 3 Geographically Distribution Of Certified Inflammatory Bowel Disease Units In Spainmentioning

confidence: 99%

Inflammatory bowel disease integral care units: Evaluation of a nationwide quality certification programme. The GETECCU experience

et al. 2021

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Background One of the most valued targets in inflammatory bowel disease (IBD) is for physicians to provide and patients to receive a high‐level quality of care. This study aimed to evaluate the implementation of a nationwide quality certification programme for IBD units. Methods Identification of quality indicators (QI) for IBD Unit certification was based on Delphi methodology that selected 53 QI, which were subjected to a normalisation process. Selected QI were then used in the certification process. Coordinated by GETECCU, this process began with a consulting round and an audit drill followed by a formal audit carried out by an independent certifying agency. This audit involved the scrutiny of the selected QI in medical records. If 80%–90% compliance was achieved, the IBD unit audited received the qualification of “advanced”, and if it exceeded 90% the rating was “excellence”. Afterwards, an anonymous survey was conducted among certified units to assess satisfaction with the programme for IBD units. Results As of January 2021, 66 IBD units adhere to the nationwide certification programme. Among the 53 units already audited by January 2021, 31 achieved the certification of excellence, 20 the advanced certification, and two did not obtain the certification. The main survey results indicated high satisfaction with an average score of 8.5 out of 10. Conclusion Certification of inflammatory bowel disease units by GETECCU is the largest nationwide certification programme for IBD units reported. More than 90% of IBD units adhered to the programme achieved the certification.

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“…1 Some attempts have been made to set up a list of criteria that could be considered a minimum of quality of care standard in IBD in the recent past. [7][8][9][10][11][12][13][14][15][16] Based on the definition of standards of care, 17 they are mainly based on a Delphi consensus among experts in the field and not from high quality evidence data. The Consensus published by the Grupo Español de Trabajo en Enfermedad de Crohn y Colitis Ulcerosa (GETECCU) from Spain is one of the most successful examples of setting up a detailed list of quality of care standards in IBD.…”

mentioning

confidence: 99%

The new frontier: Certifying quality standards in the inflammatory bowel disease care

Fiorino

Danese

2021

UEG Journal

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Excellence Centers in Inammatory Bowel Disease in Romania: a Measure of the Quality of Care

Abstract: .

Cited by 9 publications

References 6 publications

Integrated Care Models: Optimizing Adult Ambulatory Care in Inflammatory Bowel Disease

Integrated Care Models: Optimizing Adult Ambulatory Care in Inflammatory Bowel Disease

Inflammatory bowel disease integral care units: Evaluation of a nationwide quality certification programme. The GETECCU experience

The new frontier: Certifying quality standards in the inflammatory bowel disease care

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