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

Version 2 2024-06-04, 09:29
Version 1 2016-12-05, 15:49
journal contribution
posted on 2024-06-04, 09:29 authored by Antonina Mikocka-WalusAntonina Mikocka-Walus, JM Andrews, R von Känel, G Moser
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.

History

Journal

European journal gastroenterology and hepatology

Volume

25

Pagination

393-398

Location

Philadelphia, Pa.

eISSN

1473-5687

Language

eng

Publication classification

C Journal article, C1.1 Refereed article in a scholarly journal

Copyright notice

2013, Wolters Kluwer Health

Issue

4

Publisher

Lippincott Williams & Wilkins