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

Antonina Mikocka-Walus, Jane Andrews, Ronald von Kanel, Gabriele Moser

    Research output: Contribution to journalArticle

    12 Citations (Scopus)

    Abstract

    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.

    Original languageEnglish
    Pages (from-to)393-398
    Number of pages6
    JournalEuropean Journal of Gastroenterology and Hepatology
    Volume25
    Issue number4
    DOIs
    Publication statusPublished - 2013

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