Patient and physician views on the quality of care for inflammatory bowel disease after one-year follow-up: Results from SOLUTION-2, a prospective IG-IBD study. Issue 9 (September 2017)

• Record Type: Journal Article
• Authors: Daperno, Marco; Bortoli, Aurora; Kohn, Anna; Politi, Patrizia; Marconi, Stefano; Ardizzone, Sandro; Cortelezzi, Claudio Camillo; Grasso, Gianalberto; Ferraris, Luca; Milla, Monica; Spina, Luisa; Guidi, Luisa; Losco, Alessandra; Inserra, Gaetano; Sablich, Renato; Morganti, Daniela; Bodini, Giorgia; Comberlato, Michele
• Is Part Of: Digestive and liver disease. Volume 49:Issue 9(2017)
• Page Start: 997
• Page End: 1002
• Publication Date: 2017-09
• Subjects: Inflammatory bowel disease -- Quality of care -- QUOTE-IBD,; Digestive organs -- Diseases -- Periodicals; Liver -- Diseases -- Periodicals; 616.33005
• DOI: 10.1016/j.dld.2017.05.008
• Languages: English
• ISSNs: 1590-8658

Abstract

Abstract: Background and aims: Perception of quality of care is important in the management of patients with chronic diseases, particularly inflammatory bowel disease. Aims and methods: This longitudinal study aimed to investigate variations of the Quality of Care through the Patients' Eyes (QUOTE-IBD) questionnaire scores one year after the basal evaluation in theS tudioO sservazionale quaL ità cU re malatTI e crO niche intestiN ali (SOLUTION-1) study. Results: Of the cohort of 992 patients, 936 were evaluable. The QUOTE-IBD score overcame satisfactory levels of more than the 80%, overall and in all subdomains except for the "Continuity of Care" sub-dimension (mean, 8.3; standard deviation, 1.49), scored satisfactory only by 34% of the patients. No significant changes in satisfaction were recorded overall, or considering patients subgroups. Significant differences were found at the end of the follow-up between physicians' and patients' perceptions of quality of care, with the former over-rating their performance in "Continuity of Cares" and under-rating "Costs", "Competence", and "Accessibility" sub-domains of the score (p < 0.05 for all). Conclusion: Perceived quality of care in a large cohort of Italian patients with inflammatory bowel disease remains unchanged after one-year follow-up and was not significantly affected by disease activity or therapeutic interventions. Differences between physicians' and patients' perceptions of quality of care should be taken into account.