PTU-075 What is the benefit of telephone and virtual IBD clinics in a DGH?

Abstract

steroids therapy, the second patient underwent surgery for a malignant stricture and the third patient had enteroscopy and removal of the capsule; biopsies of the stricture were in-conclusive. The overall cohort DY for all indications was 39% (n=377/958). Conclusions This is the largest series from a DGH in England. Our data has shown that CE is safe, non-invasive and feasible in a district hospital setting. It has a good DY, acceptable to patient and allows adequate look at the small bowel. Recommendations: Despite the major role of CE in GI investigation, there is a lack of structured training. We recommend formal accreditation and training to be added to the Gastroenterology advance training curriculum.

The effect of a nurse-led advice line and virtual clinic on inflammatory bowel disease service delivery: an Australian study

“…The results of the BCA showed that the two interventions led to the avoidance of 1113 IBD outpatient department (OPD) visits, 57 GP visits, and 64 ED presentations in 1 year, producing an annual net saving of AUD 110 663.80. These findings are in agreement with the results of previous benefit-cost analyses of virtual interventions in IBD [9–12].…”

“…The specialist IBD nursing role, whilst vast and varied, is recognized worldwide as critical in the provision of high-quality care to people living with IBD. The clinical and economic benefits of having access to an IBD nurse specialist have been supported by previous studies in the literature [5,7,[9][10][11][12][13]. This study aimed to extend this literature by evaluating the outcomes of implementing two nurse-led telehealth initiatives, the IBD patient advice line and virtual clinic and quantifying the potential financial implication to the Australian healthcare system.…”

Clinical communication in inflammatory bowel disease: a systematic review of the study of clinician–patient dialogue to inform research and practice

“…21 Nurses are at the forefront of IBD healthcare, providing medical and psychosocial care (including but not limited to provision of information) via IBD advicelines and virtual clinics and are at times the mediator or gatekeeper between the patient and the gastroenterologist. [24][25][26][27][28][29] Understanding the dynamics of the IBD nursepatient interaction as a bidirectional process that both responds to the context at hand and reshapes it will help develop effective communication strategies and identify communicative risks. In achieving this understanding, a robust account of variation in nurse-patient interaction is crucial since small changes in ways of speaking can produce big differences in how a context is experienced and interpreted by patients.…”