Management of common gastrointestinal disorders: quality criteria based on patients' views and practice guidelines
| Autor: | Roger Jones, Richard Stevens, Jamie Dalrymple, Claire Hunt, Sarah Sleet, Jonathan Blanchard Smith, Richard Driscoll |
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| Rok vydání: | 2009 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Gastrointestinal Diseases MEDLINE Disease Original Paper - Full-length version Inflammatory bowel disease Health Services Accessibility Coeliac disease Young Adult Patient satisfaction medicine Humans Intensive care medicine Qualitative Research Irritable bowel syndrome Aged Quality of Health Care Aged 80 and over business.industry Focus Groups Middle Aged Patient Acceptance of Health Care medicine.disease digestive system diseases Patient Satisfaction Chronic Disease Practice Guidelines as Topic Physical therapy Female Thematic analysis Family Practice business Qualitative research |
| Zdroj: | British Journal of General Practice. 59:e199-e208 |
| ISSN: | 1478-5242 0960-1643 |
| DOI: | 10.3399/bjgp09x420761 |
| Popis: | Background Although gastrointestinal disorders are common in general practice, clinical guidelines are not always implemented, and few patient-generated quality criteria are available to guide management. Aim To develop quality criteria for the management of four common gastrointestinal disorders: coeliac disease, gastro-oesophageal reflux disease (GORD), inflammatory bowel disease, and irritable bowel syndrome. Design of study Qualitative study including thematic analysis of transcripts from patient focus groups and content analysis of published clinical practice guidelines. Emergent themes were synthesised by a consensus panel, into quality criteria for each condition. Setting Community-based practice in England, UK. Methods Fourteen focus groups were conducted (four for coeliac disease, irritable bowel syndrome, and inflammatory bowel disease, and two for GORD) involving a total of 93 patients (64 females, 29 males; mean age 55.4 years). Quality criteria were based on patients9 views and expectations, synthesised with an analysis of clinical practice guidelines. Results A chronic disease management model was developed for each condition. Key themes included improving the timeliness and accuracy of diagnosis, appropriate use of investigations, better provision of information for patients, including access to patient organisations, better communication with, and access to, secondary care providers, and structured follow-up and regular review, particularly for coeliac disease and inflammatory bowel disease. Conclusion This study provides a model for the development of quality markers for chronic disease management in gastroenterology, which is likely to be applicable to other chronic conditions. |
| Databáze: | OpenAIRE |
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