The Technical Quality of Delivered Care for People with Inflammatory Bowel Disease in Tabriz Gastroenterology Clinics

Abstract

Background: The Inflammatory Bowel Disease (IBD) is considered as one of the chronic diseasesre-quiring complicated treatment. This study aimed to assess technical quality of providing care for pa-tients with IBD. Methods: This cross-sectional study was conducted on 94 people with IBD using interviews and simple random sampling methods in Gastroenterology, Endoscopy and clinic of Imam Reza Hospital and Golgasht Clinic in Tabriz in 2012. The data collection tool was a researcher-designed questionnaire whose validity and reliability had been confirmed. In order to investigate the statistical relationship between the background variables and compliance with the standards the Chi-square test was applied using SPSS 17 Software. Results: "visit by the physician" and "diet advice by the dietitian" have had the highest and the lowest levels of compliance with the standard respectively, and "the care related to the disease exacerbation" and "the care provided by the other physicians" were not compatible with the standards in 80% of the cases. Data analyses also showed that there was a significant relationship between participant’s age, job, education and the smoking status and compliance of some care with the relevant standards (P<0.05). Conclusion: The results indicate a substantial gap between provided care for the people with IBD and the relevant standards. This indicates the areas that need of improvement and requires the serious attention of the authorities.

‘Eating is like experiencing a gamble’: A qualitative study exploring the dietary decision‐making process in adults with inflammatory bowel disease

“… 11 However, some of the patients in this study reported that dietary advice provided by healthcare professionals was often broad, generalised and even contradictory. A previous cross‐sectional study 12 on the quality of care for patients with IBD reported that satisfaction was the lowest for ‘dietary advice from a dietitian’. Furthermore, although gastroenterologists are experts in the function of the gastrointestinal tract, most of them are not experts in nutritional science.…”

“…11 However, some of the patients in this study reported that dietary advice provided by healthcare professionals was often broad, generalised and even contradictory. A previous cross-sectional study 12 on the quality of care for patients with IBD reported that satisfaction was the lowest for 'dietary advice from a This factor may lead to increased confusion and bewilderment amongst patients about complex dietary choices. According to previous studies, 13,14 many patients with IBD employ an elimination diet to avoid disease exacerbation.…”

Perception of Health Care Professionals Toward Hospital Accreditation at Johns Hopkins Aramco Healthcare

“…It is a public recognition by accrediting bodies to hospitals compliant with a desirable set of standards that serve as a guide for excellence 2. These standards are created to meet the need for quality care performance ensuring compliance with the optimum requirements, which are evaluated by an objective expert survey team 3. A theoretical approach for accreditation has been proposed by Desveaux et al,4 who hypothesized 3 stages seeking a visible impact on health care quality: (1) alignment of accreditation with the organizational vision, mission, and values, called “coherence”; (2) “buy-in” for acceptance of positive changes by champions seeking better care; (3) “action” by implementing quality improvement projects in response to accreditation findings.…”