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

Mikocka-Walus, Antonina A.; Andrews, Jane M.; von Känel, Roland; Moser, Gabriele (2013). What are the implications of changing treatment delivery models for patients with inflammatory bowel disease: a discussion paper. European journal of gastroenterology & hepatology, 25(4), pp. 393-398. Lippincott Williams & Wilkins 10.1097/MEG.0b013e32835c07b4

[img] Text
Eur_J_Gastroenerol_Hepatol_2013.pdf - Published Version
Restricted to registered users only
Available under License Publisher holds Copyright.

Download (123kB) | Request a copy

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.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurology > Centre of Competence for Psychosomatic Medicine

UniBE Contributor:

von Känel, Roland

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0954-691X

Publisher:

Lippincott Williams & Wilkins

Language:

English

Submitter:

Annette Barbara Kocher

Date Deposited:

13 Jun 2014 11:29

Last Modified:

05 Dec 2022 14:31

Publisher DOI:

10.1097/MEG.0b013e32835c07b4

PubMed ID:

23470263

BORIS DOI:

10.7892/boris.47427

URI:

https://boris.unibe.ch/id/eprint/47427

Actions (login required)

Edit item Edit item
Provide Feedback