Healthcare utilisation patterns and drivers amongst inflammatory bowel disease patients in the outpatient clinic.
| Autor: | Koppelman LJM; Department of Gastroenterology and Hepatology, Leiden University Medical Centre, Leiden, The Netherlands., Maljaars PWJ, Voorneveld PW, van der Meulen-de Jong AE |
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| Jazyk: | angličtina |
| Zdroj: | European journal of gastroenterology & hepatology [Eur J Gastroenterol Hepatol] 2025 Feb 01; Vol. 37 (2), pp. 176-183. Date of Electronic Publication: 2024 Nov 05. |
| DOI: | 10.1097/MEG.0000000000002880 |
| Abstrakt: | Objective: Inflammatory bowel disease (IBD), encompassing Crohn's disease and ulcerative colitis, impose an escalating burden on healthcare systems globally, with a rising prevalence contributing to increased costs. This study explored healthcare utilisation patterns and its drivers amongst IBD patients in an outpatient clinic. Methods: A longitudinal cohort study was conducted at a Dutch academic teaching hospital. IBD patients ( n = 180) were followed for 1 year and were categorised based on disease activity and consultation frequency. Healthcare utilisation was assessed through consultations and laboratory tests. Patient-reported outcomes and biochemical disease activity were measured, and subsequently the reasons for consultations were analysed. Results: The frequency of outpatient healthcare utilisation exceeded the recommended IBD care guidelines by two-fold. Comorbidities were the leading reason for consultations (40.4%), followed by remission induction, medication changes and pending test results. Moreover, clinical disease activity, reported problems with self-care, daily activities and pain were predictive of an increase in annual consultations. Conclusion: This study identified factors influencing healthcare utilisation in IBD outpatients. Personalised care pathways using eHealth technologies have the potential to reduce unnecessary consultations and optimise resource allocation. (Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc.) |
| Databáze: | MEDLINE |
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