Unmet needs of Italian physicians managing patients with inflammatory bowel disease.
Attitude of Health Personnel
Gastroenterology
/ methods
Humans
Inflammatory Bowel Diseases
/ therapy
Italy
Needs Assessment
Patient Care Management
/ methods
Practice Patterns, Physicians'
/ organization & administration
Professional Practice
/ standards
Professional Practice Gaps
Quality Improvement
Staff Development
/ methods
Surveys and Questionnaires
Clinical management
Crohn’s disease
Medical education
Professional updating
Ulcerative colitis
Journal
Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver
ISSN: 1878-3562
Titre abrégé: Dig Liver Dis
Pays: Netherlands
ID NLM: 100958385
Informations de publication
Date de publication:
02 2019
02 2019
Historique:
received:
22
06
2018
revised:
30
07
2018
accepted:
31
07
2018
pubmed:
20
9
2018
medline:
14
6
2019
entrez:
20
9
2018
Statut:
ppublish
Résumé
Little is known about the unmet needs of physicians caring for patients with inflammatory bowel disease (IBD). This study explored the practical difficulties and needs for professional updating of Italian IBD physicians. A questionnaire was distributed to 600 physicians attending IG-IBD meetings. 280 physicians completed the questionnaire (46.7%). On a 5-point Likert scale (from 1, strongly disagree to 5, strongly agree), they identified the most problematic issues in managing IBD patients as increasing bureaucracy (3.9), lack of extra-gastroenterological IBD expertise (3.4), lack of diagnostic techniques (3.1) and budget limitations (2.9). The most lacking techniques, ranked from 1 (greatest need) to 9 (lowest need), were: anti-drug antibody and trough level assays (2.7), device-assisted enteroscopy (3.1), exploration under anaesthesia (3.2), MR enterography (3.2), and bowel ultrasonography (3.3). About professional updating, respondents indicated (on a 5-point Likert scale) that helpful topics were practical medicine (4.3), managing difficult patients (4.1), and guidelines (4.0). The most desired modality for updating was residential courses on clinical practice (4.3). Several factors potentially limit the best management of IBD patients in Italy. Satisfying these unmet needs could improve care for IBD patients.
Sections du résumé
BACKGROUND
Little is known about the unmet needs of physicians caring for patients with inflammatory bowel disease (IBD).
AIMS
This study explored the practical difficulties and needs for professional updating of Italian IBD physicians.
METHODS
A questionnaire was distributed to 600 physicians attending IG-IBD meetings.
RESULTS
280 physicians completed the questionnaire (46.7%). On a 5-point Likert scale (from 1, strongly disagree to 5, strongly agree), they identified the most problematic issues in managing IBD patients as increasing bureaucracy (3.9), lack of extra-gastroenterological IBD expertise (3.4), lack of diagnostic techniques (3.1) and budget limitations (2.9). The most lacking techniques, ranked from 1 (greatest need) to 9 (lowest need), were: anti-drug antibody and trough level assays (2.7), device-assisted enteroscopy (3.1), exploration under anaesthesia (3.2), MR enterography (3.2), and bowel ultrasonography (3.3). About professional updating, respondents indicated (on a 5-point Likert scale) that helpful topics were practical medicine (4.3), managing difficult patients (4.1), and guidelines (4.0). The most desired modality for updating was residential courses on clinical practice (4.3).
CONCLUSION
Several factors potentially limit the best management of IBD patients in Italy. Satisfying these unmet needs could improve care for IBD patients.
Identifiants
pubmed: 30228075
pii: S1590-8658(18)30878-8
doi: 10.1016/j.dld.2018.07.041
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
212-217Informations de copyright
Copyright © 2018 Editrice Gastroenterologica Italiana S.r.l. Published by Elsevier Ltd. All rights reserved.