scholarly journals Fragmentation, Care Models, and Improving Outcomes in Inflammatory Bowel Disease

2020 ◽  
Vol 3 (9) ◽  
pp. e2016122
Author(s):  
David I. Fudman ◽  
Jason K. Hou

2020 ◽  
Vol 52 (5) ◽  
pp. 516-527
Author(s):  
Olga Maria Nardone ◽  
Marietta Iacucci ◽  
Subrata Ghosh ◽  
Fabiana Castiglione


Children ◽  
2021 ◽  
Vol 8 (4) ◽  
pp. 286
Author(s):  
Jennifer Verrill Schurman ◽  
Craig A. Friesen

While the biopsychosocial nature of inflammatory bowel disease (IBD) is now well accepted by clinicians, the need for integrated multidisciplinary care is not always clear to institutional administrators who serve as decision makers regarding resources provided to clinical programs. In this commentary, we draw on our own experience in building successful integrated care models within a division of pediatric gastroenterology (GI) to highlight key considerations in garnering initial approval, as well as methods to maintain institutional support over time. Specifically, we discuss the importance of making a strong case for the inclusion of a psychologist in pediatric IBD care, justifying an integrated model for delivering care, and addressing finances at the program level. Further, we review the benefit of collecting and reporting program data to support the existing literature and/or theoretical projections, demonstrate outcomes, and build alternative value streams recognized by the institution (e.g., academic, reputation) alongside the value to patients. Ultimately, success in garnering and maintaining institutional support necessitates moving from the theoretical to the practical, while continually framing discussion for a nonclinical/administrative audience. While the process can be time-consuming, ultimately it is worth the effort, enhancing the care experience for both patients and clinicians.



2019 ◽  
Vol 1 (3) ◽  
Author(s):  
Benjamin Click

With rising interest in multidisciplinary care models for inflammatory bowel disease, the optimal team arrangements, roles, and dynamics are unknown. This editorial comments on the importance of work addressing this issue in an inflammatory bowel disease patient-centered medical home model.



2021 ◽  
Author(s):  
Emily B Rivet ◽  
Jaime L Bohl ◽  
Sarmed Al Yassin ◽  
Stephen J Bickston

Abstract Background Palliative care is being increasingly recognized for benefitting patients with a wide spectrum of chronic serious medical conditions. Methods Care models and principles of palliative care for patient with inflammatory bowel disease were explored. Results The use of a structured and systematic approach for emotionally laden conversations and the “Total Pain” paradigm are examples of palliative care expertise that can be applied through either primary or consultative palliative care models. Conclusions Palliative care should be considered in clinical practice and as a topic for further scholarly investigation to further define its role and benefits.



2001 ◽  
Vol 120 (5) ◽  
pp. A628-A628
Author(s):  
S HENDERSON ◽  
S DHALIWAL ◽  
N HOFFMAN ◽  
R PRINCE


2001 ◽  
Vol 120 (5) ◽  
pp. A628-A628
Author(s):  
T WONG ◽  
D SMITH ◽  
D SIMPSON ◽  
A COAKLEY ◽  
C MONIZ ◽  
...  






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