Delivering High Value Inflammatory Bowel Disease Care Through Telemedicine Visits

Li, Shawn X.; Thompson, Kimberly D.; Peterson, Tracey; Huneven, Shelley; Carmichael, Jamie; Glazer, Fredric J.; Darling, Katelyn; Siegel, Corey A.

doi:10.1097/mib.0000000000001210

Cited by 56 publications

(69 citation statements)

References 10 publications

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“…Several studies have shown the feasibility of implementing telemedicine in IBD practices through various technological platforms; this turns out to have many benefits, such as improved disease knowledge, high rate of adherence, a decrease in hospitalisations, urgent visits and steroid use. [8][9][10][11] Since 2012, our IBD team at the University of Naples Federico II (Italy) has taken advantage of the use of a dedicated IBD contact centre service (CCS) that includes a helpline and mail service to facilitate communication between physicians and patients and address logistic issues. This system is well-accepted by patients, as witnessed by high satisfaction rates.…”

Section: The Impact Of a Dedicated Contact Centre On The Clinical Outmentioning

confidence: 99%

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The impact of a dedicated contact centre on the clinical outcome of patients with inflammatory bowel disease during the COVID-19 outbreak

Nardone

Rispo

Testa

et al. 2020

Therap Adv Gastroenterol

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Background: With the interruption of elective activity during the coronavirus disease 2019 (COVID-19) pandemic, a reorganisation of health care for patients with inflammatory bowel disease (IBD) was warranted. We aimed to investigate the effectiveness of a dedicated contact centre service (CCS) on the reorganization of a high-volume IBD centre and on the continuity of care during the COVID-19 outbreak. Methods: We compared the CCS services provided to 3680 IBD patients and clinical outcomes before (January–February 2020) and during (March–April 2020) the COVID-19 period. We further included, as comparator, data from March to April of the previous year (2019). Results: During the outbreak, the CCS received an increase of 10.2% of contacts, from 881, in January–February 2020, to 971 ( p = 0.02). An increase of 6% in CCS activities was also reported in comparison with March–April 2019 (from 914 to 971 in March–April 2020, p = 0.71). Before COVID-19, in both periods most contacts (67% in January–February 2020 and 60% in March–April 2019) required information about clinical activity, while fewer (33% in January–February 2020 and 40% in March–April 2019) requested logistic information. During the pandemic, most contacts (65.1%) asked to speak with a physician, 23.7% asked for information, while 11.1% wanted to cancel/postpone their appointments. Among all the information, 66% concerned COVID-19. In March–April 2020, 259 outpatient visits were booked, but were all replaced by phone consultations. No difference was detected in the number of intravenous biological administrations (307 versus 296, p = 0.64), surgeries (10 versus 9, p = 0.82) and urgent hospitalisations (10 versus 12, p = 0.67) before and during the COVID-19. Conclusion: The CCS was an effective tool in the reorganization of the IBD centre. Scheduled visits were replaced by phone calls. The main clinical outcomes were maintained in the COVID-19 period. Virtual follow-up using the CCS could be implemented after the pandemic to optimise the resources of the IBD centre.

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Section: The Impact Of a Dedicated Contact Centre On The Clinical Outmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The impact of a dedicated contact centre on the clinical outcome of patients with inflammatory bowel disease during the COVID-19 outbreak

Nardone

Rispo

Testa

et al. 2020

Therap Adv Gastroenterol

View full text Add to dashboard Cite

show abstract

“…12,13 In addition to direct savings, as telemedicine is much cheaper than face-to-face visits, without decreasing the quality of care patients are offered, telemedicine services are associated with other positive health outcomes, such as patients' increased adherence to medication and their better understanding of follow-up plans. 10,14,15 Moreover, web-based systems give patients living in remote areas the opportunity to have close follow-ups from experienced IBD specialists. Combined use of distance management tools, such as telephone conferencing, email communication, and video conferencing, is effective in achieving treatment targets.…”

Section: Inflammatory Bowel Diseases (Ibd) Including Ulcerative Colimentioning

confidence: 99%

COVID‐19: A strong call for remote medicine in inflammatory bowel disease

Khorshid

Bakheet

Abdallah³

et al. 2020

J of Digest Diseases

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“…Benchimol and colleagues found that IBD patients who live in rural areas of Canada had fewer gastroenterologist visits, more hospitalizations and greater rates of emergency department visits. 26 For patients with IBD in general, finding a gastroenterologist sufficiently experienced in IBD management may necessitate time-consuming and costly travel. This can be even worse for patients with more complex diseases who may require care by multiple specialists.…”

Section: Telehealth Visitsmentioning

confidence: 99%

<p>Telemedicine in the Management of Inflammatory Bowel Disease: An Update</p>

Bhattacharya¹,

Wong²,

Cross³

2020

SHTT

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Crohn's disease and ulcerative colitis are the two most common subtypes of inflammatory bowel disease. Most studies show that this patient population is increasing in incidence. Patients with these diseases require lifelong care by experienced practitioners however the traditional medical model is not ideal for patients who require continuous close monitoring and whose symptoms may dramatically worsen between regularly scheduled visits. Patients with uncontrolled disease may experience abdominal pain, diarrhea, and rectal bleeding and such patients are at increased risk for complications that may necessitate hospitalization and emergency surgery. Traditional medical care can be supplemented by telemedicine, which is the delivery of health care through remote electronic communication, for example, through web-based computer or smartphone applications. Here we describe several studies that highlight the many ways in which telemedicine can augment and improve patient care through telemonitoring, telemanagement, televisit, and teleconsultation.

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Delivering High Value Inflammatory Bowel Disease Care Through Telemedicine Visits

Abstract: Telemedicine offers a low cost and convenient alternative for patients with IBD without compromising quality of care.

Cited by 56 publications

References 10 publications

The impact of a dedicated contact centre on the clinical outcome of patients with inflammatory bowel disease during the COVID-19 outbreak

The impact of a dedicated contact centre on the clinical outcome of patients with inflammatory bowel disease during the COVID-19 outbreak

COVID‐19: A strong call for remote medicine in inflammatory bowel disease

<p>Telemedicine in the Management of Inflammatory Bowel Disease: An Update</p>

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