Patient perceptions of joint medical-surgical assessment in a tertiary referral clinic for inflammatory bowel disease

Abstract

Background Joint medical-surgical inflammatory bowel disease clinics allow simultaneous patient assessment by both a gastroenterologist and surgeon. However, patient perceptions of dual clinician presence have not been adequately assessed. Therefore, this study aimed to evaluate the patient's view of receiving multidisciplinary care in this clinic. Methods Patients attending the medical-surgical inflammatory bowel disease clinic completed questionnaires assessing their attitudes towards the clinic, their overall satisfaction and desired frequency of appointments. Results Responses were received from 44 patients, the majority of whom indicated that attendance at the joint medical-surgical clinical made them feel less anxious about their disease, provided consistent messages regarding their care and minimised the number of trips made to hospital. High levels of satisfaction were reported, with 43% stating they preferred joint clinic attendance for every appointment. Conclusions Effective inflammatory bowel disease management requires coordinated care across specialties. Simultaneous medical-surgical assessment has practical and emotional benefits, without making patients feel overburdened by the presence of more than one clinician. This supports the streamlining of care for patients with inflammatory bowel disease in specific clinical scenarios.

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

“…There is limited research about the perception of and satisfaction with IMC by persons living with IBD and by healthcare providers ( 42 ). Joint provider clinics with a gastroenterologist and surgeon have been seen as satisfactory by individuals because of: decreased anxiety about their IBD, consistent provider communication and decreased numbers of appointments and trips to hospital ( 61 ). Many people with IBD do not have access to IMCs, and those who do not have access often feel like they have an unmet healthcare need ( 10 ).…”