Satisfaction with patient-doctor relationships in inflammatory bowel diseases: Examining patient-initiated change of specialist

D Van Langenberg, Jane Andrews

    Research output: Contribution to journalArticlepeer-review

    11 Citations (Scopus)

    Abstract

    AIM: To assess the reasons for, and factors associated with, patient-initiated changes in treating specialist in inflammatory bowel diseases (IBD). METHODS: Prospectively identified IBD patients (n = 256) with ≥ 1 encounter at a metropolitan hospital were surveyed, including whether they had changed treating specialist and why. Negative reasons included loss of confidence, disagreement, and/or personality clash with the specialist. RESULTS: Of 162 respondents, 70 (43%) had ever changed specialists; 30/70 (43%) for negative reasons, 52/70 (74%) in the preceding year. Patients with negative reasons for changing (n = 30) were younger (median, 35.2 years vs 45.3 years) ,had higher IBD knowledge (median, 5.0 years vs 4.0 years), yet had lower medication adherence and satisfaction scores (median, 19.0 years vs 22.0 years, 14.0 years vs 16.0 years respectively, Mann-Whitney tests, all P < 0.05), compared to all other responders (n = 132). Patients with a recent change (for any reason) were more likely to have Crohn's disease, currently active disease, previous bowel resection and recent hospitalization [OR 2.6, 95% CI (1.3-5.4), 2.2 (1.0-4.7), 5.56 (1.92-16.67), 2.0 (1.3-3.0), each P < 0.05]. CONCLUSION: Changing specialist appears associated with patient-related (age, nonadherence) and contemporaneous disease-related factors (recent relapse) which, where modifiable, may enhance patient-doctor relationships and therefore quality of care.

    Original languageEnglish
    Pages (from-to)2212-2218
    Number of pages7
    JournalWorld Journal of Gastroenterology
    Volume18
    Issue number18
    DOIs
    Publication statusPublished - 14 May 2012

    Keywords

    • Disease outcomes
    • Inflammatory bowel disease
    • Patient-doctor relationship
    • Quality of care
    • Quality of life

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