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What are the implications of changing treatment delivery models for patients with inflammatory bowel disease : a discussion paper
journal contribution
posted on 2013-04-01, 00:00 authored by Antonina Mikocka-WalusAntonina Mikocka-Walus, J M Andrews, R von Känel, G MoserAn 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 hepatologyVolume
25Issue
4Pagination
393 - 398Publisher
Lippincott Williams & WilkinsLocation
Philadelphia, Pa.Publisher DOI
eISSN
1473-5687Language
engPublication classification
C Journal article; C1.1 Refereed article in a scholarly journalCopyright notice
2013, Wolters Kluwer HealthUsage metrics
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No categories selectedKeywords
Delivery of Health Care, IntegratedHolistic HealthHumansInflammatory Bowel DiseasesMental DisordersModels, OrganizationalPatient-Centered CareScience & TechnologyLife Sciences & BiomedicineGastroenterology & Hepatologybiopsychosocialinflammatory bowel diseaseintegrated model of caretreatment deliveryRANDOMIZED CONTROLLED-TRIALHEALTH-CAREINTEGRATED CAREULCERATIVE-COLITISMANAGEMENTANXIETYIBDANTIDEPRESSANTSTHERAPYPERSPECTIVES
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