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

Mikocka-Walus, Antonina, Andrews, Jane M, Rampton, David, Goodhand, James, van der Woude, Janneke and Bernstein, Charles N 2014, How can we improve models of care in inflammatory bowel disease? An international survey of IBD health professionals., Journal of Crohns and Colitis, vol. 8, no. 12, pp. 1668-1674, doi: 10.1016/j.crohns.2014.07.009.

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Title How can we improve models of care in inflammatory bowel disease? An international survey of IBD health professionals.
Author(s) Mikocka-Walus, AntoninaORCID iD for Mikocka-Walus, Antonina
Andrews, Jane M
Rampton, David
Goodhand, James
van der Woude, Janneke
Bernstein, Charles N
Journal name Journal of Crohns and Colitis
Volume number 8
Issue number 12
Start page 1668
End page 1674
Total pages 7
Publisher Elsevier
Place of publication Amsterdam, The Netherlands
Publication date 2014-12
ISSN 1876-4479
Keyword(s) Biopsychosocial
Health practitioners
Models of care
Summary BACKGROUND AND AIMS: Few studies have specifically examined models of care in IBD. This survey was designed to help gather information from health professionals working in IBD services on current care models, and their views on how to best reshape existing models for IBD care worldwide. METHODS: An online mixed-methods survey was conducted with health professionals caring for IBD patients. Recruitment was conducted using the snowballing technique, where members of professional networks of the investigators were invited to participate. Results of the survey were summarised using descriptive statistics. RESULTS: Of the 135 included respondents, 76 (56%) were female, with a median age of 44 (range: 23-69) years, 50% were GI physicians, 34% nurses, 8% psychologists, 4% dieticians, 2% surgeons, 1% psychiatrists, and 1% physiotherapists. Overall, 73 (54%) respondents considered their IBD service to apply the integrated model of care, and only 5% reported that they worked exclusively using the biomedical care (no recognition of psychosocial factors). The majority of respondents reported including mental health assessment in their standard IBD care (65%), 51% believed that an ideal IBD service should be managed in specialist led clinics, and 64% wanted the service to be publicly funded. Respondents pictured an ideal IBD service as easy-access fully multi-disciplinary, with a significant role for IBD nurses and routine psychological and nutritional assessment and care. CONCLUSIONS: 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.
Language eng
DOI 10.1016/j.crohns.2014.07.009
Field of Research 110399 Clinical Sciences not elsewhere classified
Socio Economic Objective 929999 Health not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2014, Elsevier
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Document type: Journal Article
Collections: Faculty of Health
School of Psychology
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