What are the implications of changing treatment delivery models for patients with inflammatory bowel disease : a discussion paper

Mikocka-Walus, Antonina A, Andrews, Jane M, von Känel, Roland and Moser, Gabriele 2013, What are the implications of changing treatment delivery models for patients with inflammatory bowel disease : a discussion paper, European journal gastroenterology and hepatology, vol. 25, no. 4, pp. 393-398, doi: 10.1097/MEG.0b013e32835c07b4.

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Title What are the implications of changing treatment delivery models for patients with inflammatory bowel disease : a discussion paper
Author(s) Mikocka-Walus, Antonina AORCID iD for Mikocka-Walus, Antonina A orcid.org/0000-0003-4864-3956
Andrews, Jane M
von Känel, Roland
Moser, Gabriele
Journal name European journal gastroenterology and hepatology
Volume number 25
Issue number 4
Start page 393
End page 398
Total pages 6
Publisher Lippincott Williams & Wilkins
Place of publication Philadelphia, Pa.
Publication date 2013-04
ISSN 1473-5687
Keyword(s) Delivery of Health Care, Integrated
Holistic Health
Humans
Inflammatory Bowel Diseases
Mental Disorders
Models, Organizational
Patient-Centered Care
Summary An integrated model of care has been used effectively to manage chronic diseases; however, there is limited, yet encouraging evidence on its introduction in the management of inflammatory bowel disease (IBD), a chronic gastrointestinal condition. Here, the rationale for and implications of introducing an integrated model of care for patients with IBD are discussed, with a particular focus on psychology input, patient-centred care, efficiency as perceived by patients and doctors, financial implications and the possible means of model introduction. This is a discussion paper on the integrated model of care for IBD against a background of what has been learned from an integrated model of care established in other chronic conditions. Although limited, the emerging data on an integrated model of care in IBD are encouraging with respect to patient outcomes and savings in healthcare costs. In other conditions, the model has been well received by both patients and practitioners, although the loss of autonomy by doctors is listed among its drawbacks. The cost-effectiveness data are now sufficiently convincing to recommend the model's acceptance in principle. The model should be promoted at the policy level rather than by individual practitioners to facilitate equal access for patients with IBD on a larger scale than currently.
Language eng
DOI 10.1097/MEG.0b013e32835c07b4
Field of Research 110307 Gastroenterology and Hepatology
111708 Health and Community Services
1103 Clinical Sciences
Socio Economic Objective 920105 Digestive System Disorders
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2013, Wolters Kluwer Health
Persistent URL http://hdl.handle.net/10536/DRO/DU:30090100

Document type: Journal Article
Collections: Faculty of Health
School of Psychology
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