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

被引:24
作者
Bennett, Alice L. [1 ,2 ]
Munkholm, Pia [3 ]
Andrews, Jane M. [1 ,2 ]
机构
[1] Royal Adelaide Hosp, Dept Gastroenterol, Adelaide, SA 5000, Australia
[2] Univ Adelaide, Sch Med, Adelaide, SA 5000, Australia
[3] Northsealand Hosp, Dept Gastroenterol, DK-1165 Copenhagen, Denmark
关键词
Inflammatory bowel disease; Ulcerative colitis; Crohn's disease; Guidelines; Management tools; TYPE-2; DIABETES-MELLITUS; HEART-FAILURE MANAGEMENT; ASTHMA ACTION PLAN; ULCERATIVE-COLITIS; CROHNS-DISEASE; PRACTICE GUIDELINES; SELF-MANAGEMENT; GASTROENTEROLOGY; PREVALENCE; DIAGNOSIS;
D O I
10.3748/wjg.v21.i15.4457
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
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 nonexpert 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.
引用
收藏
页码:4457 / 4465
页数:9
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