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Patient-ly Waiting: A Review of Patient-Centered Access to Inflammatory Bowel Disease Care in Canada
Canada has one of the highest prevalence estimates of inflammatory bowel disease (IBD) in the world. Like other chronic illnesses, access to specialist care is required for disease management. Traditionally, access to care is evaluated through wait times (actual access); however, new patient-oriente...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6487989/ https://www.ncbi.nlm.nih.gov/pubmed/31294393 http://dx.doi.org/10.1093/jcag/gwy001 |
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author | Mathias, Holly van Zanten, Sander Veldhuyzen Kits, Olga Heisler, Courtney Jones, Jennifer |
author_facet | Mathias, Holly van Zanten, Sander Veldhuyzen Kits, Olga Heisler, Courtney Jones, Jennifer |
author_sort | Mathias, Holly |
collection | PubMed |
description | Canada has one of the highest prevalence estimates of inflammatory bowel disease (IBD) in the world. Like other chronic illnesses, access to specialist care is required for disease management. Traditionally, access to care is evaluated through wait times (actual access); however, new patient-oriented definitions of access (perceived access) highlight other equally important facets of access to care (e.g., appropriateness). Aim: How does access to gastroenterology speciality care influence disease-related outcomes for IBD patients in Canada? A comprehensive literature review was undertaken. Cochrane, PubMed and CINHAL databases were searched for peer-reviewed English language articles published between 2006 and 2016. Inclusion/exclusion criteria focussed on access to IBD care in Canada. Included articles were classified using Levesque et al.’s patient-centered access framework (e.g., affordability, accessibility, appropriateness, acceptability, availability and accommodation). Eight articles were found, including six which addressed patient-centered access. Most of the articles addressed issues of availability (e.g., wait times), appropriateness and affordability. Only one article addressed approachability and acceptability of IBD care. All articles emphasized a need for greater patient-centered measures (e.g., multidisciplinary clinics) with a goal to improve patient access and, ultimately, patient outcomes. Understanding patient-centered access to IBD care is important for managing IBD and improving patient outcomes. Literature examining access to gastroenterology services is limited. Increased investment in patient-oriented research should be made to better understand the relationship between access to specialist care and patient outcomes. |
format | Online Article Text |
id | pubmed-6487989 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-64879892019-07-10 Patient-ly Waiting: A Review of Patient-Centered Access to Inflammatory Bowel Disease Care in Canada Mathias, Holly van Zanten, Sander Veldhuyzen Kits, Olga Heisler, Courtney Jones, Jennifer J Can Assoc Gastroenterol Original Articles Canada has one of the highest prevalence estimates of inflammatory bowel disease (IBD) in the world. Like other chronic illnesses, access to specialist care is required for disease management. Traditionally, access to care is evaluated through wait times (actual access); however, new patient-oriented definitions of access (perceived access) highlight other equally important facets of access to care (e.g., appropriateness). Aim: How does access to gastroenterology speciality care influence disease-related outcomes for IBD patients in Canada? A comprehensive literature review was undertaken. Cochrane, PubMed and CINHAL databases were searched for peer-reviewed English language articles published between 2006 and 2016. Inclusion/exclusion criteria focussed on access to IBD care in Canada. Included articles were classified using Levesque et al.’s patient-centered access framework (e.g., affordability, accessibility, appropriateness, acceptability, availability and accommodation). Eight articles were found, including six which addressed patient-centered access. Most of the articles addressed issues of availability (e.g., wait times), appropriateness and affordability. Only one article addressed approachability and acceptability of IBD care. All articles emphasized a need for greater patient-centered measures (e.g., multidisciplinary clinics) with a goal to improve patient access and, ultimately, patient outcomes. Understanding patient-centered access to IBD care is important for managing IBD and improving patient outcomes. Literature examining access to gastroenterology services is limited. Increased investment in patient-oriented research should be made to better understand the relationship between access to specialist care and patient outcomes. Oxford University Press 2018-03-01 /pmc/articles/PMC6487989/ /pubmed/31294393 http://dx.doi.org/10.1093/jcag/gwy001 Text en © The Author(s) 2018. Published by Oxford University Press on behalf of the Canadian Association of Gastroenterology. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Original Articles Mathias, Holly van Zanten, Sander Veldhuyzen Kits, Olga Heisler, Courtney Jones, Jennifer Patient-ly Waiting: A Review of Patient-Centered Access to Inflammatory Bowel Disease Care in Canada |
title | Patient-ly Waiting: A Review of Patient-Centered Access to Inflammatory Bowel Disease Care in Canada |
title_full | Patient-ly Waiting: A Review of Patient-Centered Access to Inflammatory Bowel Disease Care in Canada |
title_fullStr | Patient-ly Waiting: A Review of Patient-Centered Access to Inflammatory Bowel Disease Care in Canada |
title_full_unstemmed | Patient-ly Waiting: A Review of Patient-Centered Access to Inflammatory Bowel Disease Care in Canada |
title_short | Patient-ly Waiting: A Review of Patient-Centered Access to Inflammatory Bowel Disease Care in Canada |
title_sort | patient-ly waiting: a review of patient-centered access to inflammatory bowel disease care in canada |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6487989/ https://www.ncbi.nlm.nih.gov/pubmed/31294393 http://dx.doi.org/10.1093/jcag/gwy001 |
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