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Tools for primary care management of inflammatory bowel disease: Do they exist?

Identifieur interne : 000453 ( Pmc/Corpus ); précédent : 000452; suivant : 000454

Tools for primary care management of inflammatory bowel disease: Do they exist?

Auteurs : Alice L. Bennett ; Pia Munkholm ; Jane M. Andrews

Source :

RBID : PMC:4402293

Abstract

Healthcare systems throughout the world continue to face emerging challenges associated with chronic disease management. Due to the likely increase in chronic conditions in the future it is now vital that cooperation and support between specialists, generalists and primary health care physicians is conducted. Inflammatory bowel disease (IBD) is one such chronic disease. Despite specialist care being essential, much IBD care could and probably should be delivered in primary care with continued collaboration between all stakeholders. Whilst most primary care physicians only have few patients currently affected by IBD in their caseload, the proportion of patients with IBD-related healthcare issues cared for in the primary care setting appears to be widespread. Data suggests however, that primary care physician’s IBD knowledge and comfort in management is suboptimal. Current treatment guidelines for IBD are helpful but they are not designed for the primary care setting. Few non-expert IBD management tools or guidelines exist compared with those used for other chronic diseases such as asthma and scant data have been published regarding the usefulness of such tools including IBD action plans and associated supportive literature. The purpose of this review is to investigate what non-specialist tools, action plans or guidelines for IBD are published in readily searchable medical literature and compare these to those which exist for other chronic conditions.


Url:
DOI: 10.3748/wjg.v21.i15.4457
PubMed: 25914455
PubMed Central: 4402293

Links to Exploration step

PMC:4402293

Le document en format XML

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<p>Healthcare systems throughout the world continue to face emerging challenges associated with chronic disease management. Due to the likely increase in chronic conditions in the future it is now vital that cooperation and support between specialists, generalists and primary health care physicians is conducted. Inflammatory bowel disease (IBD) is one such chronic disease. Despite specialist care being essential, much IBD care could and probably should be delivered in primary care with continued collaboration between all stakeholders. Whilst most primary care physicians only have few patients currently affected by IBD in their caseload, the proportion of patients with IBD-related healthcare issues cared for in the primary care setting appears to be widespread. Data suggests however, that primary care physician’s IBD knowledge and comfort in management is suboptimal. Current treatment guidelines for IBD are helpful but they are not designed for the primary care setting. Few non-expert IBD management tools or guidelines exist compared with those used for other chronic diseases such as asthma and scant data have been published regarding the usefulness of such tools including IBD action plans and associated supportive literature. The purpose of this review is to investigate what non-specialist tools, action plans or guidelines for IBD are published in readily searchable medical literature and compare these to those which exist for other chronic conditions.</p>
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<journal-id journal-id-type="nlm-ta">World J Gastroenterol</journal-id>
<journal-id journal-id-type="iso-abbrev">World J. Gastroenterol</journal-id>
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<journal-title>World Journal of Gastroenterology : WJG</journal-title>
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<subject>Topic Highlight</subject>
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<article-title>Tools for primary care management of inflammatory bowel disease: Do they exist?</article-title>
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<contrib contrib-type="author">
<name>
<surname>Bennett</surname>
<given-names>Alice L</given-names>
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<name>
<surname>Munkholm</surname>
<given-names>Pia</given-names>
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<contrib contrib-type="author">
<name>
<surname>Andrews</surname>
<given-names>Jane M</given-names>
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<aff>Alice L Bennett, Jane M Andrews, Department of Gastroenterology, Royal Adelaide Hospital, Adelaide SA 5000, Australia</aff>
<aff>Alice L Bennett, Jane M Andrews, School of Medicine, University of Adelaide, Adelaide SA 5000, Australia</aff>
<aff>Pia Munkholm, Department of Gastroenterology, Northsealand Hospital, 1165 Copenhagen, Denmark</aff>
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<author-notes>
<fn>
<p>Author contributions: Bennett AL, Andrews JM and Munkholm P solely contributed to this paper.</p>
<p>Correspondence to: Alice L Bennett, MBBS, FRACP, Department of Gastroenterology, Royal Adelaide Hospital, Level Q7, North Terrace, Adelaide SA 5000, Australia.
<email>alicebennett14@hotmail.com</email>
</p>
<p>Telephone: +61-8-82225207 Fax: +61-8-82222414</p>
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<volume>21</volume>
<issue>15</issue>
<fpage>4457</fpage>
<lpage>4465</lpage>
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<date date-type="received">
<day>25</day>
<month>11</month>
<year>2014</year>
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<date date-type="rev-recd">
<day>9</day>
<month>2</month>
<year>2015</year>
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<date date-type="accepted">
<day>12</day>
<month>3</month>
<year>2015</year>
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<permissions>
<copyright-statement>©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.</copyright-statement>
<copyright-year>2015</copyright-year>
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<abstract>
<p>Healthcare systems throughout the world continue to face emerging challenges associated with chronic disease management. Due to the likely increase in chronic conditions in the future it is now vital that cooperation and support between specialists, generalists and primary health care physicians is conducted. Inflammatory bowel disease (IBD) is one such chronic disease. Despite specialist care being essential, much IBD care could and probably should be delivered in primary care with continued collaboration between all stakeholders. Whilst most primary care physicians only have few patients currently affected by IBD in their caseload, the proportion of patients with IBD-related healthcare issues cared for in the primary care setting appears to be widespread. Data suggests however, that primary care physician’s IBD knowledge and comfort in management is suboptimal. Current treatment guidelines for IBD are helpful but they are not designed for the primary care setting. Few non-expert IBD management tools or guidelines exist compared with those used for other chronic diseases such as asthma and scant data have been published regarding the usefulness of such tools including IBD action plans and associated supportive literature. The purpose of this review is to investigate what non-specialist tools, action plans or guidelines for IBD are published in readily searchable medical literature and compare these to those which exist for other chronic conditions.</p>
</abstract>
<kwd-group>
<kwd>Inflammatory bowel disease</kwd>
<kwd>Ulcerative colitis</kwd>
<kwd>Crohn’s disease</kwd>
<kwd>Guidelines</kwd>
<kwd>Management tools</kwd>
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