Development of a Global Rating Scale for Inflammatory Bowel Disease

Bitton, Alain; Devitt, Katharine S.; Bressler, Brian; Heatherington, Joan; Jairath, Vipul; Jones, Jennifer; Moayyedi, Paul; Weizman, Adam V.; Dubé, Catherine; MacIntosh, Donald; Nguyen, Geoffrey C.

doi:10.1093/jcag/gwz017

Cited by 3 publications

(2 citation statements)

References 43 publications

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“…Although robust evidence is lacking in defining IBD MDT membership, guidelines provide some framework including identifying core and ancillary members ( 12 , 15 , 44 , 52 , 53 ). Core individuals for IBD-specific IMCs include nurses ( 12–14 , 34 , 41 , 42 , 44 , 52–75 ), mental health care providers such as psychologists and psychiatrists ( 33 , 41 , 53–55 , 57 , 62 , 63 , 66–68 , 70 , 74 , 76–80 ), dietitians ( 14 , 34 , 41 , 44 , 52 , 53 , 55 , 57 , 59 , 66–68 , 70 , 72 , 74 , 75 ), and social workers ( 53 , 55 , 57 , 62 , 66 , 67 , 70 ). Pathologists, radiologists, and pharmacists with a special interest in IBD have also been suggested as core members of an IMC ( 44 ).…”

Section: Integrated Collaborative Models Of Carementioning

confidence: 99%

“…Pathologists, radiologists, and pharmacists with a special interest in IBD have also been suggested as core members of an IMC ( 44 ). Ancillary members may also include a rheumatologist, ophthalmologist, hepatologist, dermatologist, pediatric IBD care team, obstetrician, and physiotherapist ( 33 , 44 , 52 , 53 ). At a minimum, an IMC team should involve a gastroenterologist lead, a colorectal surgeon, an IBD nurse specialist, a dietitian, and a psychologist or a mental health counsellor.…”

Section: Integrated Collaborative Models Of Carementioning

confidence: 99%

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The 2023 Impact of Inflammatory Bowel Disease in Canada: Access to and Models of Care

Mathias,

Rohatinsky,

Murthy

et al. 2023

Journal of the Canadian Association of Gastroenterology

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Rising compounding prevalence of inflammatory bowel disease (IBD) (Kaplan GG, Windsor JW. The four epidemiological stages in the global evolution of inflammatory bowel disease. Nat Rev Gastroenterol Hepatol. 2021;18:56–66.) and pandemic-exacerbated health system resource limitations have resulted in significant variability in access to high-quality, evidence-based, person-centered specialty care for Canadians living with IBD. Individuals with IBD have identified long wait times, gaps in biopsychosocial care, treatment and travel expenses, and geographic and provider variation in IBD specialty care and knowledge as some of the key barriers to access. Care delivered within integrated models of care (IMC) has shown promise related to impact on disease-related outcomes and quality of life. However, access to these models is limited within the Canadian healthcare systems and much remains to be learned about the most appropriate IMC team composition and roles. Although eHealth technologies have been leveraged to overcome some access challenges since COVID-19, more research is needed to understand how best to integrate eHealth modalities (i.e., video or telephone visits) into routine IBD care. Many individuals with IBD are satisfied with these eHealth modalities. However, not all disease assessment and monitoring can be achieved through virtual modalities. The need for access to person-centered, objective disease monitoring strategies, inclusive of point of care intestinal ultrasound, is more pressing than ever given pandemic-exacerbated restrictions in access to endoscopy and cross-sectional imaging. Supporting learning healthcare systems for IBD and research relating to the strategic use of innovative and integrative implementation strategies for evidence-based IBD care interventions are greatly needed. Data derived from this research will be essential to appropriately allocating scarce resources aimed at improving person-centred access to cost-effective IBD care.

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Section: Integrated Collaborative Models Of Carementioning

confidence: 99%

Section: Integrated Collaborative Models Of Carementioning

confidence: 99%

The 2023 Impact of Inflammatory Bowel Disease in Canada: Access to and Models of Care

Mathias,

Rohatinsky,

Murthy

et al. 2023

Journal of the Canadian Association of Gastroenterology

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Models of Care for Inflammatory Bowel Disease: A National Cross-sectional Survey to Characterize the Landscape of Inflammatory Bowel Disease Care in Canada

Miles

Peña-Sánchez

Heisler

et al. 2022

Crohn's &Amp; Colitis 360

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Background Collaborative care models improve inflammatory bowel disease (IBD) patient outcomes, yet little is known about the capacity or available resources to deliver such model of care in Canada. We aimed to describe the structure and process characteristics of clinical care delivery models for IBD across Canada, including the number of collaborative care centres. Methods A cross-sectional study was conducted between November 2017 and October 2018 through an online survey. This survey was distributed to gastroenterologists at community and academic centres across Canada who provide care for IBD patients. Comparisons between collaborative and non-collaborative centres were analysed using chi-squares or t-tests. Descriptive statistics of respondent demographics were also generated. Results 72 gastroenterologists from 62 unique IBD centres completed the survey. A total of 7 unique collaborative centres and 55 unique non-collaborative centres were identified. There were significant differences between collaborative and non-collaborative centres in some aspects of access to IBD care, patient assessment and referral process, and patent education and empowerment. Notably, very few centres had processes for implementing and evaluating evidence-based clinical pathways, and auditing quality indicators. Conclusions Our findings identify areas for improving the quality of IBD care in Canada. Expanding the number of and access to collaborative care centres in Canada is needed, in addition to increased focus on patient education, communication, and implementation of evidence-based care pathways.

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The utility of website-based quality improvement tools for health professionals: a systematic review

Tran,

Kelly,

Hammersley

et al. 2024

International Journal for Quality in Health Care

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Background: As technology continues to advance, it is important to understand how website-based tools can support quality improvement. Website-based tools refer to resources such as toolkits that users can access and use autonomously through a dedicated website. This review examined how website-based tools can support healthcare professionals with quality improvement, including the optimal processes used to develop tools and the elements of an effective tool. Methods: A systematic search of seven databases was conducted to include articles published between January 2012 and January 2024. Articles were included if they were peer reviewed, written in English, based in health settings and reported the development or evaluation of a quality improvement website-based tool for professionals. A narrative synthesis was conducted using NVivo. Risk of bias was assessed using the Mixed Methods Appraisal Tool. All papers were independently screened and coded by two authors using a six-phase conceptual framework by Braun and Clarke. Results: Eighteen studies met the inclusion criteria. Themes identified were tool development processes, quality improvement mechanisms and barriers and facilitators to tool usage. Digitalising existing quality improvement processes (n = 7), identifying gaps in practice (n = 6), and contributing to professional development (n = 3) were common quality improvement aims. Tools were associated with reported enhancement of accuracy and efficiency in clinical tasks, improvement in adherence to guidelines, facilitation of reflective practice and provision of tailored feedback for continuous quality improvement. Common features were educational resources (n = 7) and assisting the user to assess current practices against standards/recommendations (n = 6), which supported professionals in achieving better clinical outcomes, increased professional satisfaction and streamlined workflow in various settings. Studies reported facilitators to tool usage including relevance to practice, accessibility and facilitating multidisciplinary action, making these tools practical and time-efficient for healthcare. However, barriers such as being time consuming, irrelevant to practice, difficult to use and lack of organisational engagement were reported. Almost all tools were co-developed with stakeholders. The co-design approaches varied, reflecting different levels of stakeholder engagement and adoption of co-design methodologies. It is noted that the quality of included studies was low. Conclusions: These findings offer valuable insights for future development of quality improvement website-based tools in healthcare. Recommendations include ensuring tools are co-developed with healthcare professionals, focusing on practical usability and addressing common barriers to enhance engagement and effectiveness in improving healthcare quality. Randomised controlled trials are warranted to provide objective evidence of tool efficacy. Funding: This work was supported by the Prevention Research Support Program, funded by the New South Wales Ministry of Health, Australia. Registration: This review was registered with PROSPERO, no. CRD42023451346.

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Development of a Global Rating Scale for Inflammatory Bowel Disease

Cited by 3 publications

References 43 publications

The 2023 Impact of Inflammatory Bowel Disease in Canada: Access to and Models of Care

The 2023 Impact of Inflammatory Bowel Disease in Canada: Access to and Models of Care

Models of Care for Inflammatory Bowel Disease: A National Cross-sectional Survey to Characterize the Landscape of Inflammatory Bowel Disease Care in Canada

The utility of website-based quality improvement tools for health professionals: a systematic review

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